Organization
KOLATHU A MATHEW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOLATHU A MATHEW MD (OWNER)
(631) 669-2900
Entity
Organization
Contact information
Practice address
720 MONTAUK HWY, WEST ISLIP, NY 11795-4411
(631) 669-2900
(631) 669-2547
Mailing address
720 MONTAUK HWY, WEST ISLIP, NY 11795-4411
(631) 669-2900
(631) 669-2547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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