Dr. MATIN MIKAYIL IMANGULI MD, DDS
Individual Provider (NPI-1)
Active
Otolaryngology, Plastic Surgery within the Head & Neck
Provider Information
- NPI Number
1114065406- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD, DDS
- Status
- Active
Contact & Location
- Address
- 102 JAMES ST STE 302, EDISON, NJ, 088203970
- Phone
- (732) 635-9300
Specialties & Taxonomies
Dentist
License: VA #0401411071
Otolaryngology
License: TX #Q0461
Otolaryngology
License: AL #36041
Otolaryngology
License: NJ #25MA10294300
Otolaryngology, Plastic Surgery within the Head & Neck
Primary License: NJ #25MA10294300