Provider Demographics
NPI:1336532779
Name:MOY, MATTHEW MAN-YU (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:MAN-YU
Last Name:MOY
Suffix:
Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:17 AVE AT PORT IMPERIAL APT 1016
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-7043
Mailing Address - Country:US
Mailing Address - Phone:508-208-2943
Mailing Address - Fax:
Practice Address - Street 1:121 NEWARK AVE STE 500
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-5873
Practice Address - Country:US
Practice Address - Phone:201-565-0409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ22DI02611300204E00000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery