Matusow, Gary

Matusow, Gary is an individual health care provider with primary practice located at 3205 Fire Rd , Egg Harbor Township NJ 08234-5857. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Matusow, Gary can be contacted via phone (609) 407-1220.

Contact Information

Primary practice address
3205 Fire Rd Egg Harbor Township NJ 08234-5857
Phone: (609) 407-1220
Fax: (321) 280-2479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MB05205400 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MB05205400 New Jersey

Profile Details

NPI number 1033154463
LBN Legal business name Matusow, Gary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 21st, 2023 - about last year

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 1033154463 NPPES
New Jersey MEDICAID 2345609

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