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Individual

ANN ROY MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
500 UPPER CHESAPEAKE DR, ADULT HOSPITALIST DEPT, BEL AIR, MD 21014-4324
(443) 643-1500
(443) 643-1505
Mailing address
500 UPPER CHESAPEAKE DR, ADULT HOSPITALIST DEPT, BEL AIR, MD 21014-4324
(718) 216-8249

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA052829
PA
363AM0700X
Medical Physician Assistant
Primary
C05868
MD

Other

Enumeration date
01/29/2007
Last updated
09/17/2023
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