Provider Demographics
NPI:1023046182
Name:MATROS, ROBERT EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EDWARD
Last Name:MATROS
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 1:349 US HIGHWAY 206
Mailing Address - Street 2:SUITE G
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4667
Mailing Address - Country:US
Mailing Address - Phone:908-874-4499
Mailing Address - Fax:908-904-0698
Practice Address - Street 1:349 US HIGHWAY 206
Practice Address - Street 2:SUITE G
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4667
Practice Address - Country:US
Practice Address - Phone:908-874-4499
Practice Address - Fax:908-904-0698
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00245700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT45213Medicare ID - Type Unspecified