Organization
RENEE J MATHUR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE J MATHUR MD (PRESIDENT)
(814) 288-2669
Entity
Organization
Contact information
Practice address
913 MENOHER BLVD, JOHNSTOWN, PA 15905-2834
(814) 288-2669
(814) 288-2667
Mailing address
913 MENOHER BLVD, JOHNSTOWN, PA 15905-2834
(814) 288-2669
(814) 288-2667
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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