Provider Demographics
NPI:1710249438
Name:MATALIA, FALGUNI (MD)
Entity Type:Individual
Prefix:DR
First Name:FALGUNI
Middle Name:
Last Name:MATALIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 PROSPECT AVE APT 9E
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2226
Mailing Address - Country:US
Mailing Address - Phone:646-220-0852
Mailing Address - Fax:
Practice Address - Street 1:185 PROSPECT AVE APT 9E
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2226
Practice Address - Country:US
Practice Address - Phone:646-220-0852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0000390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program