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Individual
LIJU MATHEW
Active
Individual
LIJU MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16635300
NJ
363LF0000X
Family Nurse Practitioner
26NJ00578100
NJ
363LF0000X
Family Nurse Practitioner
SP014671
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00578100
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027204
PA
363LP2300X
Primary Care Nurse Practitioner
26NJ00578100
NJ
363LP2300X
Primary Care Nurse Practitioner
SP014671
PA
Other
Enumeration date
04/06/2015
Last updated
05/22/2023
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