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Individual
NANCY MATHEW
Active
Individual
NANCY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00122700
NJ
363A00000X
Physician Assistant
Primary
PA19344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1056087
NCCPA
NJ
Enumeration date
07/26/2006
Last updated
08/19/2026
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