Provider Demographics
NPI:1760947519
Name:YALE PERINATAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:YALE PERINATAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:MATTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-979-9782
Mailing Address - Street 1:4 EQUINOX LN
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8651
Mailing Address - Country:US
Mailing Address - Phone:732-979-9782
Mailing Address - Fax:
Practice Address - Street 1:4 EQUINOX LN
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8651
Practice Address - Country:US
Practice Address - Phone:732-979-9782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty