Individual
KEVIN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 GRAND AVE, ENGLEWOOD, NJ 07631-4967
(201) 567-2277
Mailing address
2 NEWMAN PL, EAST HANOVER, NJ 07936-3041
(973) 494-2791
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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