Individual
SUBY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 GREENBRIAR LN, WEST GROVE, PA 19390-9485
(215) 450-7180
Mailing address
147 N SIDESADDLE LN, EAST FALLOWFIELD TOWNSHIP, PA 19320-4556
(215) 450-7180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026950
PA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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