Susan P. Mathew M.D.

NPI 1770675480 - Internal Medicine - 207R00000X

NPI Details
NPI 1770675480
Gender Female
Enumeration Date 09/29/2006
Last Updated 10/27/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
DAYTONA BEACH FL, 32114-2709, US
Phone (386) 676-7130
Fax (386) 676-7125
Business Location
P.O. BOX 9671
DAYTONA BEACH FL, 32120-9671, US
Phone (386) 676-7130
Fax (386) 676-7125
Taxonomy Code 207R00000X
License State Connecticut
License Number 031212
Remove 1770675480 NPI Number

According to our database, Susan P. Mathew M.D. NPI is 1770675480, taxonomy code is 207R00000X and license number is 031212, license state is located at Connecticut. Susan P. Mathew M.D. physically located at 201 Clyde Morris Blvd., Daytona Beach FL, 32114-2709. NPI Number Susan P. Mathew M.D. has the Individual type.

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1770675480 NPI number is provided on an as is basis without warranty of any kind. 1770675480 is maintained by the National Plan & Provider Enumeration System. The contents of Susan P. Mathew M.D. are for informational purposes only.