Whalio Doctors

NPI 1114065406

Matin Mikayil Imanguli, MDDDS

Practitioner Plastic Surgery within the Head & Neck (Otolaryngology) Physician Edison, NJ

Practice location

Address
102 James St STE 302, Edison, NJ 08820-3970
Phone
(732) 635-9300
Mailing address
3600 Route 66 Fl 3, Neptune, NJ 07753-2645

Registered specialties (5)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 25MA10294300 (NJ)
Dentist
Dental Providers Taxonomy 122300000X Licence 0401411071 (VA)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence Q0461 (TX)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 36041 (AL)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 25MA10294300 (NJ)

Registry record

NPI
1114065406
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Feb 2007
Record last updated
12 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.