; NPI #1376616367

Contact Information

CALVIN C MATTHEWS, MD

323 BELLEVILLE AVE
BLOOMFIELD, NJ 07003-3648

Phone: 973-429-1010
Fax: 973-429-1199
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for

NPI Number 1376616367

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 11/16/2006

Last updated 07/08/2007 - About 19 years ago

Identifiers

NJ	License #	MA49180
NJ	Medicaid	3584607
NJ	Other	223054468	TAX ID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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