Provider Demographics
NPI:1588392989
Name:DUNCAN, MATTHEW EDGAR (DPT)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:EDGAR
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-1286
Mailing Address - Country:US
Mailing Address - Phone:732-575-3921
Mailing Address - Fax:
Practice Address - Street 1:732 NEWMAN SPRINGS RD STE 200
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1545
Practice Address - Country:US
Practice Address - Phone:732-800-4925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02111500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist