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Individual

DR. GEORGE K MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
29099 HEALTH CAMPUS DR, SUITE-230, WESTLAKE, OH 44145-5200
(440) 835-6263
(440) 892-6632
Mailing address
29099 HEALTH CAMPUS DR, SUITE-230, WESTLAKE, OH 44145-5200
(440) 835-6263
(440) 892-6632

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-044841
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0429334
OH
Enumeration date
06/20/2007
Last updated
01/09/2012
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