Individual
MANOJ MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3995 OLD TOWN RD, SUITE 202, HUNTINGTOWN, MD 20639-3041
(410) 535-1451
(410) 535-9620
Mailing address
CALVERT INTERNAL MEDICINE GROUP, PA, 985 PRINCE FREDERICK BLVD, STE 201, PRINCE FREDERICK, MD 20678-3042
(410) 535-2005
(443) 432-3683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0061947
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406057100
—
MD
Enumeration date
07/12/2006
Last updated
11/12/2025
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