Provider Demographics
NPI:1891391298
Name:MATREJA, ALISHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALISHA
Middle Name:
Last Name:MATREJA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HAYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3402
Mailing Address - Country:US
Mailing Address - Phone:732-299-1865
Mailing Address - Fax:
Practice Address - Street 1:9 HAYPRESS RD
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3402
Practice Address - Country:US
Practice Address - Phone:732-299-1865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI028181001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice