Individual
MRS. JOYAMMA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
687 CAMPBELL AVE, WEST HAVEN, CT 06516-3774
(203) 932-6481
Mailing address
23 DORIS DR, MONROE, CT 06468-2106
(203) 543-6934
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9415
CT
363LA2200X
Adult Health Nurse Practitioner
AG11200064
CT
Other
Enumeration date
11/27/2020
Last updated
07/26/2021
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