Clott, Matthew Alan

Clott, Matthew Alan is an sole proprietor health care provider with primary practice located at 31 Mountain Blvd Bldg T, Warren NJ 07059-5644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Clott, Matthew Alan can be contacted via phone (908) 222-0070.

Contact Information

Primary practice address
31 Mountain Blvd Bldg T Warren NJ 07059-5644
Phone: (908) 222-0070
Fax: (908) 222-8027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 25MA07555400 New Jersey

Profile Details

NPI number 1801849096
LBN Legal business name Clott, Matthew Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Sep 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801849096 NPPES
New Jersey Other MC01512F10 EMPIRE BC/BS
New Jersey Other J33130 EMPIRE BC/BS
New Jersey Other 8219869 EMPIRE BC/BS
New Jersey Other P00166342 EMPIRE BC/BS
New Jersey Other P3106486 EMPIRE BC/BS

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