Organization
MANOJ MATHUR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ MATHUR M.D. (OWNER)
(410) 535-1451
Entity
Organization
Contact information
Practice address
110 HOSPITAL RD, SUITE 305, PRINCE FREDERICK, MD 20678
(410) 535-1451
Mailing address
P. O. BOX 209, DUNKIRK, MD 20678
(410) 535-1451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0061947
MD
Other
Enumeration date
10/02/2006
Last updated
03/03/2008
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