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Organization
TOMS P. MATHEW M.D., P.C.
Active
Organization
TOMS P. MATHEW M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMS P MATHEW MD (PRESIDENT)
(734) 753-4320
Entity
Organization
Contact information
Practice address
19270 HANNAN RD, NEW BOSTON, MI 48164-9811
(734) 753-4350
Mailing address
PO BOX 725, NEW BOSTON, MI 48164-0725
(734) 753-4350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301058860
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4095933
—
MI
Enumeration date
05/11/2007
Last updated
01/18/2012
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