| Matawan Medical Center Llc | |
|
158 Main St Suite 101 Matawan NJ 07747-4104 | |
| (732) 970-6161 | |
| (732) 970-6163 |
| Full Name | Matawan Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 158 Main St, Matawan, New Jersey |
| Authorized Official Name and Position | Magda Ghabras (PHYSICIAN) |
| Authorized Official Contact | 7329706161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matawan Medical Center Llc 158 Main St Suite 101 Matawan NJ 07747-4104 Ph: (732) 970-6161 | Matawan Medical Center Llc 158 Main St Suite 101 Matawan NJ 07747-4104 Ph: (732) 970-6161 |
| NPI Number | 1093030454 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093030454 | NPI | - | NPPES |
| 0222453 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB08392800 (New Jersey) | Primary |
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