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Contact Information

MATTHEW A BARDALES, PA-C
15000 MIDLANTIC DR STE 102
MOUNT LAUREL, NJ08054-1573
 Phone: 856-255-5479
 Fax: 833-606-0165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW A BARDALES · (Male)

NPI Number 1700300647
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/02/2017
Last updated 02/24/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00443800
Hospital affiliation(s) Not Available
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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