Individual
DR. JANE M MATHISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BALA AVE, SUITE 118, BALA CYNWYD, PA 19004-3207
(610) 667-2557
(610) 667-2445
Mailing address
445 ROCKLAND RD, MERION STATION, PA 19066-1354
(610) 667-6806
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD036291E
PA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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