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Individual

MR. MATTHEW ALLEN HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
210 JACK MARTIN BLVD # D1, BRICK, NJ 08724-3063
(609) 312-1752
Mailing address
210 JACK MARTIN BLVD # D1, BRICK, NJ 08724-3063
(732) 458-5854

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ01249800
NJ
363LF0000X
Family Nurse Practitioner
26NJ01249800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ01249800
NJ BOARD OF NURSING
NJ
Enumeration date
12/22/2021
Last updated
11/20/2024
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