Individual
JULIANNA MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9000
Mailing address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA064996
PA
363A00000X
Physician Assistant
Primary
MA064996
PA
Other
Enumeration date
09/26/2023
Last updated
02/06/2024
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