IndividualActive
Matin Imanguli, MD, DDS
NPI 1114065406 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Edison, NJ
Provider details
- NPI number
- 1114065406
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401411071 (VA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 25MA10294300 (NJ)
Allopathic & Osteopathic Physicians
Dental Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
102 James St Ste 302
Edison, NJ 08820-3970
Phone: (732) 635-9300
Approximate (ZIP-level) locationGet directions
Mailing address
3600 Route 66 Fl 3
Neptune, NJ 07753-2645
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.