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Individual

DR. MATTHEW WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
22 SYLVAN STREET, SUITE 200, RUTHERFORD, NJ 07070-2309
(201) 508-1996
(201) 728-9320
Mailing address
22 SYLVAN ST, SUITE 200, RUTHERFORD, NJ 07070-2087
(201) 508-1996
(201) 728-9320

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC 05993
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P2706450
OXFORD PROVIDER NUMBER
NJ
Enumeration date
11/08/2006
Last updated
10/02/2014
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