Lawrence, Matthew W
Lawrence, Matthew W is an individual health care provider with primary practice located at 649 Shore Rd , Somers Point NJ 08244-2449. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lawrence, Matthew W can be contacted via phone (609) 365-6200.Contact Information
Primary practice address
649 Shore Rd
Somers Point NJ 08244-2449
Phone: (609) 365-6200
Fax: (609) 926-4311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C20007648 | Delaware |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | OS010450L | Pennsylvania |
Profile Details
| NPI number | 1093726101 |
|---|---|
| LBN Legal business name | Lawrence, Matthew W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Feb 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093726101 | NPPES |
| New Jersey | MEDICAID | 0712591 | |
| New Jersey | MEDICAID | 1013649230003 | |
| New Jersey | MEDICAID | 1000035617 |
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