| Dr Matienzo Health Care Pa | |
|
450 7th St Suite 9 Hoboken NJ 07030-2057 | |
| (201) 659-0711 | |
| (201) 659-4117 |
| Full Name | Dr Matienzo Health Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 7th St, Hoboken, New Jersey |
| Authorized Official Name and Position | Ricardo M Matienzo (PRESIDENT) |
| Authorized Official Contact | 2016590711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matienzo Health Care Pa 450 7th St Suite 9 Hoboken NJ 07030-2057 Ph: (201) 659-0711 | Dr Matienzo Health Care Pa 450 7th St Suite 9 Hoboken NJ 07030-2057 Ph: (201) 659-0711 |
| NPI Number | 1053534198 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 07/15/2010 |
| Medicare PECOS PAC ID | 5799818795 |
|---|---|
| Medicare Enrollment ID | O20100728000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053534198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA075238 (New Jersey) | Primary |
| Provider Name | Ricardo Matienzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306833660 PECOS PAC ID: 3971579269 Enrollment ID: I20040908000880 |
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