Individual
DOUGLAS MATHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3000
Mailing address
306 W 48TH ST APT 38A, NEW YORK, NY 10036-1388
(646) 706-3300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
327703-01
NY
207P00000X
Emergency Medicine Physician
MD2023-1184
NM
Other
Enumeration date
05/02/2019
Last updated
07/31/2024
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