Individual
LYDIA MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 TALL OAKS CT, OLD BRIDGE, NJ 08857-3530
(732) 887-3375
Mailing address
63 TALL OAKS CT, OLD BRIDGE, NJ 08857-3530
(732) 887-3375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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