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Mary Matta
Foot & Ankle Surgery Podiatrist in Hackensack, New Jersey
NPI 1992321228

Mary Matta is a Foot & Ankle Surgery Podiatrist based in Hackensack, NJ and is specialized in Foot & Ankle Surgery. Mary Matta practices in Hackensack, NJ. The NPI Number for Mary Matta is 1992321228 and holds a License No. 59.000871 (New Jersey).

The current practice location address for Mary Matta is 211 Essex St Ste 405, Hackensack, NJ and can be reached out via phone at 732-421-6907.

Location: 211 Essex St Ste 405, Hackensack, NJ, 07601-3247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992321228
Provider Name
Mary Matta
Credential
Provider Entity Type
Individual
Gender
Female
Address
211 Essex St Ste 405, Hackensack, NJ, 07601-3247
Phone Number
732-421-6907
Fax Number
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
211 Essex St Ste 405
City
Hackensack
State
New Jersey
Zip
07601-3247
Phone Number
732-421-6907
Fax Number
person
Provider Business Mailing Address Details
Address
211 Essex St Ste 405
City
Hackensack
State
New Jersey
Zip
07601-3247
Phone Number
732-421-6907
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
59.000871 (Ohio)
Definition
Definition to come...
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