1700916525 NPI number — AMY BECKER-MATTES PH.D.

Table of content: AMY BECKER-MATTES PH.D. (NPI 1700916525)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700916525 NPI number — AMY BECKER-MATTES PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BECKER-MATTES
Provider First Name:
AMY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700916525
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
208 EDGERSTOUNE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRINCETON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08540-6718
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-924-5591
Provider Business Mailing Address Fax Number:
609-921-1332

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 EWING ST
Provider Second Line Business Practice Location Address:
SUITE A-12
Provider Business Practice Location Address City Name:
PRINCETON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08540-2757
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-921-9299
Provider Business Practice Location Address Fax Number:
609-921-1332
Provider Enumeration Date:
03/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  NJ1934 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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