Individual
DR. ELLIOT K MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 COMMERCE DR, SHELTON, CT 06484-6244
(203) 929-7331
(203) 925-0330
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20558
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205582
—
CT
Enumeration date
11/28/2006
Last updated
05/17/2019
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