Organization · Type 2 NPI
Michael S. Mattikow, M.d., P.a.
Specialist · Wayne, NJ
NPI number
1891857306
Active
Practice location
2282 Hamburg Tpke, Ste E
Wayne, NJ 07470-6291
Fax (973) 835-0520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 25MA02206300 (NJ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1891857306
Michael S. Mattikow, M.d., P.a.'s National Provider Identifier is 1891857306, issued on Dec 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wayne, NJ. The record was last updated on Feb 3, 2015.