Matadial, Manjushree

Matadial, Manjushree is an individual health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Matadial, Manjushree can be contacted via phone (908) 277-8880.

Contact Information

Primary practice address
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104
Phone: (908) 277-8880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB07597800 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MB07597800 New Jersey

Profile Details

NPI number 1568542686
LBN Legal business name Matadial, Manjushree
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jan 7th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568542686 NPPES
New Jersey MEDICAID 0044377

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