Individual
MANESH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 OCEAN DR, APT W8C, JUNO BEACH, FL 33408-1919
(917) 767-8584
Mailing address
23625 COMMERCE PARK, STE 204, BEACHWOOD, OH 44122-5845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA11453700
NJ
2085R0202X
Diagnostic Radiology Physician
MD423975
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME100435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118523600
—
FL
Enumeration date
05/16/2006
Last updated
04/16/2025
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