Active NPIIndividual providerSole proprietor

Dr. Michael Matalavage, PHARMD

Pharmacist in Somerdale, New Jersey

NPI Number1972103406
Practice location
1 Coopertowne Blvd, Somerdale, NJ 08083-1433
Fax
—
Last updated
October 26, 2020

Michael Matalavage is a Pharmacist based in Somerdale, NJ. Michael Matalavage practices in Somerdale, NJ and has the professional credentials of PHARMD. The NPI Number for Michael Matalavage is 1972103406 and holds a License No. 28RI03523200 (NJ). The current practice location address for Michael Matalavage is 1 Coopertowne Blvd, Somerdale, NJ 08083-1433 and can be reached out via phone at 267-987-2780.

Provider Profile Details

NPI Number
1972103406
Provider Name
Michael Matalavage
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1 Coopertowne Blvd, Somerdale, NJ 08083-1433
Phone Number
267-987-2780
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2020
Last Update Date
October 26, 2020
Certification Date
October 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Coopertowne Blvd
Somerdale, NJ 08083-1433
Zip
08083-1433
Phone Number
267-987-2780
Somerdale, NJ 08083Get directions →

Provider Business Mailing Address Details

Address
3045 Meredith Pl
Bensalem, PA 19020-2239
City
Bensalem
State
PA
Zip
19020-2239
Phone Number
215-752-9337

License Information

License Number
28RI03523200
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael Matalavage, PHARMD?

The NPI number of Dr. Michael Matalavage, PHARMD is 1972103406. It was assigned on October 26, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Matalavage, PHARMD?

Dr. Michael Matalavage, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03523200.

Where does Dr. Michael Matalavage, PHARMD practice?

The practice location is 1 Coopertowne Blvd, Somerdale, NJ 08083-1433. The office can be reached at 267-987-2780 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972103406 directly on the NPPES registry website.

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