Organization
JYOTI MATTA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTI MATTA M.D. (PHYSICIAN)
(201) 918-2239
Entity
Organization
Contact information
Practice address
377 JERSEY AVE, SUITE 470, JERSEY CITY, NJ 07302-4393
(201) 918-2239
(201) 918-2243
Mailing address
PO BOX 1966, LIVINGSTON, NJ 07039-7566
(201) 918-2239
(201) 918-2243
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA65796
NJ
Other
Enumeration date
04/19/2007
Last updated
10/19/2011
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