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NPI Code Detail

MEDICARE: DR. MATTHEW IVAN LIPP MD

MEDICARE: DR. MATTHEW IVAN LIPP MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician25MA07739500NJ
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician25MA07739500NJ
3208VP0014XInterventional Pain Medicine Physician25MA07739500NJ

General Provider Information

NPI Number : 1649242868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW IVAN LIPP MD
Provider Business Mailing Address
First Line : 40 MAIN ST
Second Line :
City : CHATHAM
State : NJ
Zip : 07928-2431
Country : US
Telephone Number : 973-635-0800
Fax Number : 973-635-6254
Provider Business Practice Location Address
First Line : 40 MAIN ST
Second Line :
City : CHATHAM
State : NJ
Zip : 07928-2431
Country : US
Telephone Number : 973-635-0800
Fax Number : 973-635-6254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 06/04/2020

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