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Individual

NIMMY MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(908) 583-3551
Mailing address
171 E LINCOLN AVE, ROSELLE PARK, NJ 07204-1705

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D0091078
MD
390200000X
Student in an Organized Health Care Education/Training Program
MT215065
PA

Other

Enumeration date
06/16/2018
Last updated
08/31/2021
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