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NPI Code Detail

MEDICARE: DR. DAVID G. MATTES MD

MEDICARE: DR. DAVID G. MATTES 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
1207Q00000XFamily Medicine Physician25MA04836900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336188473
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID G. MATTES MD
Provider Business Mailing Address
First Line : 997 FAIRVIEW LAKE RD
Second Line :
City : NEWTON
State : NJ
Zip : 07860-4007
Country : US
Telephone Number : 973-579-7703
Fax Number :
Provider Business Practice Location Address
First Line : 181 HIGH ST
Second Line :
City : NEWTON
State : NJ
Zip : 07860-1020
Country : US
Telephone Number : 973-383-9898
Fax Number : 973-383-9665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 10/14/2013

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Directions to “ DR. DAVID G. MATTES MD” Practice Location

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