Individual
DR. SALIL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-3019
Mailing address
2800 MAIN STREET, ST.VINCENTS MULTISPECIALTY GROUP, BRIDGEPORT, CT 06606-4201
(203) 576-6133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
053305
CT
208M00000X
Hospitalist Physician
Primary
53305
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135149A
—
GA
05
—
GA1553
—
SC
01
—
P01204211
RAILROAD MEDICARE
GA
Enumeration date
06/16/2010
Last updated
12/12/2018
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