Individual
ROYCE MATHEW
Active
Individual
ROYCE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017786
NY
363A00000X
Physician Assistant
PA9112762
FL
363AM0700X
Medical Physician Assistant
017786
NY
363AS0400X
Surgical Physician Assistant
Primary
017786
NY
Other
Enumeration date
08/22/2014
Last updated
12/20/2022
Update your record
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