Individual
DR. REX G. MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 SANSOM STREET, SUITE 239, PHILADELPHIA, PA 19107
(215) 955-6844
(215) 955-2526
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD422922
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082741
—
PA
05
—
101299576
—
PA
Enumeration date
07/13/2006
Last updated
08/09/2011
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