Organization
OWEN R. MATHIEU, JR., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN R. MATHIEU JR. M.D. (PRESIDENT)
(978) 740-0634
Entity
Organization
Contact information
Practice address
100 HIGHLAND AVENUE, SUITE 202, SALEM, MA 01970
(978) 740-0634
Mailing address
100 HIGHLAND AVENUE, SUITE 202, SALEM, MA 01970
(978) 740-0634
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9703756
—
MA
Enumeration date
05/10/2007
Last updated
08/22/2020
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