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Contact Information

MATTHEW J PETRIDES, PA-C
1945 CORLIES AVE
NEPTUNE CITY, NJ07753-4859
 Phone: 732-775-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW J PETRIDES · (Male)

NPI Number 1407827496
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/30/2006
Last updated 11/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00032400
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
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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