Individual
DR. EAPEN SANTOSH MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 RETREAT AVE, HARTFORD, CT 06106-2528
(860) 837-5207
Mailing address
99 E RIVER DR, 5TH FLOOR, EAST HARTFORD, CT 06108-3288
(860) 282-4128
(860) 289-0746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
053870
CT
207L00000X
Anesthesiology Physician
35.121420
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
053870
CT
207LP3000X
Pediatric Anesthesiology Physician
053870
CT
Other
Enumeration date
06/15/2009
Last updated
08/23/2023
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