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Individual

DR. MATHUKUTTY JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
393 OAK STREET, SUITE 100, SPINDALE, NC 28160-1531
(828) 287-3928
(828) 286-3137
Mailing address
393 OAK STREET, SUITE 100, SPINDALE, NC 28160-1531
(828) 287-3928
(828) 286-3137

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2005-00596
NC
2084P0800X
Psychiatry Physician
227931-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046V1
BCBS
NC
01
182182
MEDCOST
05
5907501
NC
01
P00716057
MEDICARE RAILROAD
Enumeration date
08/08/2006
Last updated
08/03/2009
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