Individual
MRS. LEENA M MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
F305859-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01000300
NJ
Other
Enumeration date
03/13/2013
Last updated
02/25/2020
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