Individual
DR. ANDREA IDA ELISE MATHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-3297
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD477012
PA
Other
Enumeration date
05/06/2013
Last updated
07/26/2022
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