Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATIN MIKAYIL IMANGULI, MD, DDS
Active Sole ProprietorDR. MATIN MIKAYIL IMANGULI, MD, DDS is a Plastic Surgery within the Head & Neck healthcare provider located in EDISON, New Jersey. NPI 1114065406 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · EDISON, NJ
Registration Details
- NPI Number
- 1114065406
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2007 (19.55447287211 yrs)
- Last Updated
- Dec 12, 2023
- Licenses
-
0401411071 (VA)Q0461 (TX)36041 (AL)25MA10294300 (NJ)25MA10294300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 JAMES ST STE 302EDISON, NJ, 088203970Browse NJ providers · Browse ZIP 08820
- Phone
- 7326359300
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
- Additional Specialty
- Otolaryngology
- Additional Specialty
- Otolaryngology
- Additional Specialty
- Otolaryngology
- Additional Specialty
- Plastic Surgery within the Head & Neck
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.