Individual
DEEPA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 WYCKOFF RD STE 4200, EATONTOWN, NJ 07724-0199
(732) 935-7143
Mailing address
200 WYCKOFF RD STE 4200, EATONTOWN, NJ 07724-0199
(732) 935-7143
(732) 935-7245
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
25MB12259200
NJ
2080P0205X
Pediatric Endocrinology Physician
294354
NY
2080P0205X
Pediatric Endocrinology Physician
OS021357
PA
Other
Enumeration date
06/15/2015
Last updated
03/10/2025
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