Individual
ANNIE ELIZABETH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, CARDIAC CENTER 6 EAST, PHILADELPHIA, PA 19104-5127
(267) 425-6300
(215) 590-6690
Mailing address
3400 CIVIC CENTER BLVD, CARDIAC CENTER 6 EAST, PHILADELPHIA, PA 19104
(267) 435-6300
(215) 590-6690
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011894
PA
Other
Enumeration date
02/10/2012
Last updated
12/31/2013
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