Individual
JESVIN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10 FRANKLIN TPKE, MAHWAH, NJ 07430-1304
(201) 529-0033
Mailing address
20 GRAND ST FL 3, WARWICK, NY 10990-1035
(845) 353-5600
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00549800
NJ
363LF0000X
Family Nurse Practitioner
Primary
345857
NY
Other
Enumeration date
01/28/2015
Last updated
09/28/2020
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