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Contact Information

NICOLE MATAR, MD
1 BLACHLEY RD
STAMFORD, CT06902-0002
 Phone: 203-705-0948
 Fax: 203-705-0938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for NICOLE MATAR · (Female)

NPI # 1548622301
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2016
Last updated 04/18/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 79958
  • NJ License # 25MA11138600
  • NY License # 302738
Hospital affiliation(s)
  • VALLEY HOSPITAL - (Acute Care)
    223 N VAN DIEN AVENUE
    RIDGEWOOD, NJ 07450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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