Individual
DR. EDWARD JOHN MATHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 232-5202
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38270
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
38270
NC
207RP1001X
Pulmonary Disease Physician
38270
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8954893
—
NC
Enumeration date
07/30/2006
Last updated
03/09/2021
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