Individual
AJAY K MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1029 COUNTRY CLUB RD, SUITE 203, MONONGAHELA, PA 15063-1564
(724) 258-9680
(724) 258-3193
Mailing address
506 ATHENA DR, DELMONT, PA 15626-1005
(724) 446-8686
(724) 468-6207
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD039612L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009962610002
—
PA
Enumeration date
08/15/2005
Last updated
06/25/2008
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