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Individual

GEORGE MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
131-13 ROCKAWAY BLVD, SO OZONE PARK, NY 11420
(718) 322-1122
(718) 322-4505
Mailing address
131-13 ROCKAWAY BLVD, SO OZONE PARK, NY 11420
(718) 322-1122
(718) 322-4505

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
117668
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00218608
NY
Enumeration date
09/26/2006
Last updated
07/08/2007
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