Individual
GEORGE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
712 CHANDLER DR, LAWRENCEVILLE, GA 30044-5829
(678) 851-9701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
055661010
GA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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