# MANOJ MATHUR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801980222
- **Authorized official:** MANOJ MATHUR M.D. (OWNER)
- **Authorized official phone:** (410) 535-1451

## Contact information

- **Practice address:** 110 HOSPITAL RD, SUITE 305, PRINCE FREDERICK, MD 20678
- **Practice address phone:** (410) 535-1451
- **Mailing address:** P. O. BOX 209, DUNKIRK, MD 20678
- **Mailing address phone:** (410) 535-1451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0061947 | MD | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 03/03/2008