Individual
ALEX MATHEW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 N 4TH ST, LEBANON, PA 17046-5606
(717) 270-1949
Mailing address
30 N 4TH ST, LEBANON, PA 17046-5606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT217168
PA
208M00000X
Hospitalist Physician
313748
NY
Other
Enumeration date
01/21/2019
Last updated
12/13/2021
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