Organization
ELITE PULMONARY AND SLEEP MEDICINE PA
Active
Organization
ELITE PULMONARY AND SLEEP MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDAL M MATALKAH MD (OWNER)
(973) 979-9462
Entity
Organization
Contact information
Practice address
401 HAMBURG TPKE STE 101, WAYNE, NJ 07470-2139
(973) 979-9462
Mailing address
401 HAMBURG TPKE STE 101, WAYNE, NJ 07470-2139
(973) 979-9462
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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