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1952459554 NPI number — DEBORAH B MATRO M.D.

NPI Number: 1952459554
Health Care Provider/Practitioner: DEBORAH B MATRO M.D.

Information about “1952459554” NPI (DEBORAH B MATRO M.D.) exists in 1952459554 in HTML format HTML  |  1952459554 in plain Text format TXT  |  1952459554 in PDF (Portable Document Format) PDF  |  1952459554 in an XML format XML  formats.

NPI Number : 1952459554 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952459554",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MATRO",
    "FirstName": "DEBORAH",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRANDCHAFT",
    "OtherFirstName": "DEBORAH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7929 WESTPARK DR APT 1813",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TYSONS",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22102-4393",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-494-5207",
    "MailingAddressFaxNumber": "908-654-1954",
    "FirstLinePracticeLocationAddress": "52 PEARL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "METUCHEN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08840-1831",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-494-5207",
    "PracticeLocationAddressFaxNumber": "908-654-1954",
    "EnumerationDate": "01/08/2007",
    "LastUpdateDate": "11/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "MAO33129",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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