Organization
HUNTINGTON MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. MATHEW M.D. (OWNER)
(260) 356-4005
Entity
Organization
Contact information
Practice address
1601 N JEFFERSON ST, HUNTINGTON, IN 46750-1404
(260) 356-4005
(260) 356-3501
Mailing address
1601 N JEFFERSON ST, HUNTINGTON, IN 46750-1404
(260) 356-4005
(260) 356-3501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01035103A
IN
207R00000X
Internal Medicine Physician
01053659A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138210A
—
IN
01
—
110016196
TRAVELERS MEDICARE
IN
01
—
110247671
TRAVELERS MEDICARE
IN
05
—
200926830
—
IN
Enumeration date
10/31/2007
Last updated
10/13/2010
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