Individual
DR. JAMES HARVEY MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 RIDGE RD, LACKAWANNA, NY 14218-1156
(716) 822-5944
(716) 822-3937
Mailing address
227 RIDGE RD, LACKAWANNA, NY 14218-1156
(716) 822-5944
(716) 822-3937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
131142
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RB2517
MEDICARE ID TYPE UNS;PECIFIED
—
Enumeration date
06/01/2006
Last updated
11/22/2010
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