Organization
BENCY MATHAI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENCY MATHAI MD (PHYSICIAN)
(517) 960-3966
Entity
Organization
Contact information
Practice address
1310 GREENWOOD AVE, JACKSON, MI 49203-3077
(517) 960-3966
(517) 787-9183
Mailing address
1310 GREENWOOD AVE, JACKSON, MI 49203-3077
(517) 960-3966
(517) 787-9183
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301071335
MI
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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