Individual provider · Type 1 NPI
Matin Mikayil Imanguli, MD, DDS
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Edison, NJ
Practice location
102 James St Ste 302
Edison, NJ 08820-3970
Mailing address
3600 Route 66 Fl 3
Neptune, NJ 07753-2645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 0401411071 (VA) |
| Otolaryngology Physician | 207Y00000X | Q0461 (TX) |
| Otolaryngology Physician | 207Y00000X | 36041 (AL) |
| Otolaryngology Physician | 207Y00000X | 25MA10294300 (NJ) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary | 207YX0007X | 25MA10294300 (NJ) |
Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…
About NPI 1114065406
Matin Mikayil Imanguli, MD, DDS's National Provider Identifier is 1114065406, issued on Feb 1, 2007. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Edison, NJ. The record was last updated on Dec 12, 2023.