Dr. Michael J. Matarese, M.D.
Internal Medicine in Lodi, NJ. Individual provider (NPI-1).
NPI number1326190828
StatusActive
Last updated in NPPESJan 24, 2019
Details
- NPI
- 1326190828
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael J. Matarese
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2007
- Last updated
- Jan 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA10464200 | NJ | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 144046 | NY |
Practice location
116 Terrace AveLodi, NJ 07644-2905
Phone 973-473-3896
Mailing address
116 Terrace AveLodi, NJ 07644-2905
Phone 973-473-3896 · Fax 973-473-4806
Other practice locations
254 W 10th St
New York, NY 10014-6422
New York, NY 10014-6422
Phone 212-627-2270
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