Individual
RITA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4920 CAMPBELL BLVD, NOTTINGHAM, MD 21236-5916
(410) 933-7600
Mailing address
PO BOX 1094, BELAIR, MD 21094
(410) 780-1980
(410) 780-1984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0057021EXP93007
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
775400100
—
MD
Enumeration date
09/21/2006
Last updated
06/18/2021
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