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Individual
DR. MATHEW MATHEW
Active
Individual
DR. MATHEW MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD052705
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014995650016
—
PA
01
—
0738814000
KEYSTONE HEALTH PLAN EAST
PA
01
—
1094297
KMHP
PA
01
—
2507506
AETNA HMO
PA
01
—
542595
BLUE SHIELD
PA
01
—
5971005
AETNA PPO
PA
01
—
7676599003
CIGNA
PA
Enumeration date
11/07/2005
Last updated
05/09/2008
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