| Abraham Mathew, M.d, Pc | |
|
3125 Baltimore Blvd Finksburg MD 21048-2307 | |
| (410) 861-8151 | |
| (410) 833-9045 |
| Full Name | Abraham Mathew, M.d, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3125 Baltimore Blvd, Finksburg, Maryland |
| Authorized Official Name and Position | Abraham Mathew (PRESIDENT) |
| Authorized Official Contact | 4108618151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abraham Mathew, M.d, Pc 3125 Baltimore Blvd Po Box 436 Finksburg MD 21048-2307 Ph: (410) 861-8151 | Abraham Mathew, M.d, Pc 3125 Baltimore Blvd Finksburg MD 21048-2307 Ph: (410) 861-8151 |
| NPI Number | 1437213428 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 07/24/2007 |
| Medicare PECOS PAC ID | 6002853355 |
|---|---|
| Medicare Enrollment ID | O20050408000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437213428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D53705 (Maryland) | Primary |
| Provider Name | Abraham Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396753448 PECOS PAC ID: 7810934163 Enrollment ID: I20090623000122 |
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