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Dr. Michael S. Mattikow, MD
Specialist in Wayne, New Jersey
NPI 1629006978

Michael S. Mattikow is a Specialist based in Wayne, NJ. Michael S. Mattikow practices in Wayne, NJ and has the professional credentials of MD. The NPI Number for Michael S. Mattikow is 1629006978 and holds a License No. 25MA02206300 (New Jersey).

The current practice location address for Michael S. Mattikow is 2282 Hamburg Tpke, Wayne, NJ and can be reached out via phone at 973-696-7300 and via fax at 973-835-0520.

Location: 2282 Hamburg Tpke, Wayne, NJ, 07470-6291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629006978
Provider Name
Michael S. Mattikow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2282 Hamburg Tpke, Wayne, NJ, 07470-6291
Phone Number
973-696-7300
Fax Number
973-835-0520
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
471804 01 NJ MEDICARE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
2282 Hamburg Tpke
City
Wayne
State
New Jersey
Zip
07470-6291
Phone Number
973-696-7300
Fax Number
973-835-0520
person
Provider Business Mailing Address Details
Address
2282 Hamburg Tpke
City
Wayne
State
New Jersey
Zip
07470-6291
Phone Number
973-696-7300
Fax Number
973-835-0520
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA02206300 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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