Individual
SAUMYA ELEZEBATH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
230 N BROAD ST, 1ST FLOOR ROOM 131, PHILADELPHIA, PA 19102-1121
(215) 762-8559
Mailing address
2660 WELSH RD, PHILADELPHIA, PA 19152-1548
(267) 205-0747
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057223
PA
Other
Enumeration date
03/27/2015
Last updated
05/29/2020
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