Mattern, Richard F
Mattern, Richard F is an individual health care provider with primary practice located at 20 High St , Nutley NJ 07110-1132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mattern, Richard F can be contacted via phone (973) 284-0020.Contact Information
Primary practice address
20 High St
Nutley NJ 07110-1132
Phone: (973) 284-0020
Fax: (973) 284-6310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA03753600 | New Jersey |
Profile Details
| NPI number | 1376652073 |
|---|---|
| LBN Legal business name | Mattern, Richard F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Aug 17th, 2011 - about 13 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 | 1376652073 | NPPES |
| New Jersey | MEDICAID | 1820800 |
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