Matarese, Michael J.

Matarese, Michael J. is an sole proprietor health care provider with primary practice located at 116 Terrace Ave , Lodi NJ 07644-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Matarese, Michael J. can be contacted via phone (973) 473-3896.

Contact Information

Primary practice address
116 Terrace Ave Lodi NJ 07644-2905
Phone: (973) 473-3896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 144046 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA10464200 New Jersey

Profile Details

NPI number 1326190828
LBN Legal business name Matarese, Michael J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jan 24th, 2019 - about 6 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 1326190828 NPPES
New York MEDICAID 00891121

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