Individual
MR. JEEVAN M MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
500 0RANGE STREET, SUITE 2, NEWARK, NJ 07107
(845) 596-9031
Mailing address
2 EWALD PL, STONY POINT, NY 10980-2611
(845) 596-9031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01478100
NJ
Other
Enumeration date
02/07/2013
Last updated
10/13/2015
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