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Dr. Matthew John Fata, DO
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
NPI 1285197863

Matthew John Fata is a Student in an Organized Health Care Education/Training Program based in Lyndhurst, NJ. Matthew John Fata practices in Hackensack, NJ and has the professional credentials of DO. The NPI Number for Matthew John Fata is 1285197863 and holds a License No. (New Jersey).

The current practice location address for Matthew John Fata is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 551-996-4348.

Location: 30 Prospect Ave, Hackensack, NJ, 07071-1231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285197863
Provider Name
Matthew John Fata
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
30 Prospect Ave, Hackensack, NJ, 07071-1231
Phone Number
551-996-4348
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-4348
Fax Number
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-4348
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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