Provider Demographics
NPI:1326158783
Name:PINTO, MATTHEW G (DO)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:G
Last Name:PINTO
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Gender:M
Credentials:DO
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Mailing Address - Street 1:10000 LINCOLN DR E
Mailing Address - Street 2:STE 101
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3105
Mailing Address - Country:US
Mailing Address - Phone:856-988-8483
Mailing Address - Fax:856-988-8480
Practice Address - Street 1:10000 LINCOLN DR E
Practice Address - Street 2:STE 101
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3105
Practice Address - Country:US
Practice Address - Phone:856-988-8483
Practice Address - Fax:856-988-8480
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-10-16
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB07937100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0091391Medicaid
NJ0091391Medicaid
NJ092412Medicare PIN