Individual
DAVID ANDREW MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BROAD STREET, CENTRAL FALLS, RI 02863-1507
(401) 726-1800
(401) 727-3556
Mailing address
111 BREWSTER ST, WOOD BLDG #516, PAWTUCKET, RI 02860-4400
(401) 729-3481
(401) 729-2721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LP00920
RI
207Q00000X
Family Medicine Physician
Primary
MD13073
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001275901
MEDICARE PTAN
RI
05
—
DM77367
—
RI
Enumeration date
08/17/2006
Last updated
01/14/2011
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