Materna, Thomas W

Materna, Thomas W is an sole proprietor health care provider with primary practice located at 20 Ferry St , Newark NJ 07105-1420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Materna, Thomas W can be contacted via phone (973) 589-0104.

Contact Information

Primary practice address
20 Ferry St Newark NJ 07105-1420
Phone: (973) 589-0104
Fax: (973) 589-5084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA03400000 New Jersey

Profile Details

NPI number 1356480503
LBN Legal business name Materna, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jan 13th, 2014 - about 12 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 1356480503 NPPES
New Jersey MEDICAID 1465201
New Jersey Other 061280694

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