Healthcare Provider Details

I. General information

NPI: 1851343008
Provider Name (Legal Business Name): DAVID MATSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BOWMAN DRIVE 2ND FLOOR
VOORHEES NJ
08043
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-988-6260
  • Fax: 856-988-6270
Mailing address:
  • Phone: 856-988-6260
  • Fax: 856-988-6270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOS011897
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MB07601100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: