Individual
MRS. ALICIA SHANA MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
335 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-4127
(609) 748-2449
(609) 748-0959
Mailing address
335 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-4127
(609) 748-2449
(609) 748-0959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02596800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02596800
STATE LICENSE NUMBER
NJ
01
—
28RJ02336
STATE IMMUNIZATION PROVIDER NUMBER
NJ
Enumeration date
10/04/2010
Last updated
10/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us