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Individual

ANNAMMA MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
75 MOUNT AUBURN ST, HARVARD UNIVERSITY HEALTH SERVICE, CAMBRIDGE, MA 02138-4960
(617) 496-8700
(617) 495-6059
Mailing address
75 MOUNT AUBURN ST, HARVARD UNIVERSITY HEALTH SERVICE, CAMBRIDGE, MA 02138-4960
(617) 496-8700
(617) 495-6059

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
134925
MA

Other

Enumeration date
07/18/2006
Last updated
11/06/2007
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