Individual
ANTONY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HOSPITAL DR, VALLEJO, CA 94589-2574
(925) 225-5837
(925) 225-5838
Mailing address
15 WOODLAWN AVE APT B, ALBANY, NY 12208-3225
(239) 822-8333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A169892
CA
207P00000X
Emergency Medicine Physician
Primary
ME151315
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
02/22/2023
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