Individual
IRENE P MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22907-9006
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101264703
VA
Other
Enumeration date
06/08/2015
Last updated
08/21/2019
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