Individual
ALEXANDER MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2516 Q ST, BEDFORD, IN 47421-4928
(812) 279-9771
Mailing address
2516 Q ST, BEDFORD, IN 47421-4928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01046182
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200129820
—
IN
Enumeration date
07/04/2006
Last updated
01/05/2023
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