Provider Demographics
NPI:1003826595
Name:STRALKA, MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:STRALKA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WASHINGTON ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4709
Mailing Address - Country:US
Mailing Address - Phone:201-659-5617
Mailing Address - Fax:201-659-9178
Practice Address - Street 1:200 WASHINGTON ST
Practice Address - Street 2:SUITE 401
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4709
Practice Address - Country:US
Practice Address - Phone:201-659-5617
Practice Address - Fax:201-659-9178
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC006187111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083607Medicare UPIN