Organization
CJOSEPH MATHEW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH C. MATHEW MD (PRACTICE OWNER)
(978) 249-2119
Entity
Organization
Contact information
Practice address
1467 MAIN ST, SUITE 1, ATHOL, MA 01331-2652
(978) 249-2119
(978) 249-9311
Mailing address
1467 MAIN ST, SUITE 1, ATHOL, MA 01331-2652
(978) 249-2119
(978) 249-9311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060892
—
MA
Enumeration date
02/13/2008
Last updated
04/02/2008
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