Matalkah, Nidal
Matalkah, Nidal is an individual health care provider with primary practice located at 401 Hamburg Tpke Suite 107, Wayne NJ 07470-2154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Matalkah, Nidal can be contacted via phone (973) 595-7456.Contact Information
Primary practice address
401 Hamburg Tpke Suite 107
Wayne NJ 07470-2154
Phone: (973) 595-7456
Fax: (973) 904-9119
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MA061937 | New Jersey |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA061937 | New Jersey |
Profile Details
NPI number | 1447336771 |
---|---|
LBN Legal business name | Matalkah, Nidal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 30th, 2006 |
Last updated | Aug 6th, 2010 - about 14 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 | 1447336771 | NPPES |
New Jersey | MEDICAID | 6826407 |
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