Individual
DR. JOHN JOSEPH MATHEWS JR.
Active
Individual
DR. JOHN JOSEPH MATHEWS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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