Fay Mathai M.D.

NPI 1073925269 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073925269
Gender Female
Enumeration Date 05/22/2014
Last Updated 05/22/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
527 MEDICAL PARK DR STE 500
BRIDGEPORT WV, 26330-9010, US
Phone (681) 342-3600
Fax (681) 342-3625
Business Location
527 MEDICAL PARK DR STE 500
BRIDGEPORT WV, 26330-9010, US
Phone (681) 342-3600
Fax (681) 342-3625
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Fay Mathai M.D. NPI is 1073925269, taxonomy code is 390200000X Fay Mathai M.D. physically located at 527 Medical Park Dr Ste 500, Bridgeport WV, 26330-9010. NPI Number Fay Mathai M.D. has the Individual type.

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1073925269 NPI number is provided on an as is basis without warranty of any kind. 1073925269 is maintained by the National Plan & Provider Enumeration System. The contents of Fay Mathai M.D. are for informational purposes only.