Individual
DR. JOHN JOSEPH MATHEWS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10340 DEMOCRACY LN, SUITE 102, FAIRFAX, VA 22030-2518
(703) 218-2970
(703) 218-2965
Mailing address
10340 DEMOCRACY LN, SUITE 102, FAIRFAX, VA 22030-2518
(703) 218-2970
(703) 218-2965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101038513
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110171875
MEDICARE RR
—
05
—
5803241
—
VA
Enumeration date
06/23/2006
Last updated
11/05/2012
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