Individual
JOSEPH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2520
(732) 679-9950
(732) 679-9956
Mailing address
26 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2520
(732) 679-9950
(732) 679-9956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05423400
NJ
207RP1001X
Pulmonary Disease Physician
25MA05423400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6417507
—
NJ
Enumeration date
12/06/2006
Last updated
06/09/2015
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