Individual
THEODORE JOSEPH MATULEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4144
(732) 776-4146
Mailing address
17 ANN ST, COLTS NECK, NJ 07722-1403
(732) 776-4144
(732) 776-4146
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MA32850
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0974148
—
NJ
Enumeration date
10/21/2005
Last updated
06/14/2010
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