Individual
DIYA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(502) 641-4635
Mailing address
29 TUCK HALL, MAILBOX 26119, HANOVER, NH 03755
(502) 641-4635
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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