Individual
JOYCE MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-5437
(215) 707-5180
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-5437
(215) 707-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055422
PA
Other
Enumeration date
09/17/2013
Last updated
12/20/2016
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