Individual
AJITA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9850
Mailing address
101 E OLNEY AVENUE, SUITE 400, PHILADELPHIA, PA 19120-2470
(215) 254-2630
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
217562
MA
Other
Enumeration date
06/16/2006
Last updated
10/29/2010
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