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Individual

NAVYA MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
725 GORMAN ST, PHILADELPHIA, PA 19116-3606
(267) 770-1489
Mailing address
725 GORMAN ST, PHILADELPHIA, PA 19116-3606

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN736381
PA
363L00000X
Nurse Practitioner
AG05260001
PA

Other

Enumeration date
12/09/2024
Last updated
05/04/2026
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