Provider Demographics
NPI:1174563167
Name:MATHEWS, NEAL F (DC)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:F
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2452 KUSER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3360
Mailing Address - Country:US
Mailing Address - Phone:609-586-5009
Mailing Address - Fax:609-586-9905
Practice Address - Street 1:2452 KUSER RD
Practice Address - Street 2:SUITE D
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-3360
Practice Address - Country:US
Practice Address - Phone:609-586-5009
Practice Address - Fax:609-586-9905
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00296700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
574767P06Medicare ID - Type Unspecified
NJU01567Medicare UPIN