Matrix Medical Network of New Jersey PC
NPI #1831480730 in Saddle Brook, New Jersey
Provider Information
- NPI Number
- 1831480730
- Entity Type
- Organization
- Organization Name
- Matrix Medical Network of New Jersey PC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Apr 26, 2011
- Last Updated
- May 4, 2020
Practice Location
- Address
- 250 PEHLE AVE STE 200
- City
- Saddle Brook
- State
- New Jersey
- ZIP Code
- 07663-5835
- Phone
- (480) 862-1677
Authorized Official
- Name
- STEPHANIE PETERSON
- Title
- SUPERVISOR PROVIDER ENROLLMENT
- Phone
- (480) 862-1677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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