Individual
AJIN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1389 W MAIN ST, SUITE 120, WATERBURY, CT 06708-3104
(203) 573-9418
(203) 346-7974
Mailing address
1389 W MAIN ST, SUITE 120, WATERBURY, CT 06708-3104
(551) 497-3927
(203) 346-7974
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
09/08/2015
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