| Manoj Mathur Md Pa | |
|
110 Hospital Rd Suite 305 Prince Frederick MD 20678 | |
| (410) 535-1451 | |
| Not Available |
| Full Name | Manoj Mathur Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 Hospital Rd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Manoj Mathur (OWNER) |
| Authorized Official Contact | 4105351451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manoj Mathur Md Pa P. O. Box 209 Dunkirk MD 20678 Ph: (410) 535-1451 | Manoj Mathur Md Pa 110 Hospital Rd Suite 305 Prince Frederick MD 20678 Ph: (410) 535-1451 |
| NPI Number | 1801980222 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 0547216822 |
|---|---|
| Medicare Enrollment ID | O20050330000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801980222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0061947 (Maryland) | Primary |
| Provider Name | Manoj Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992730568 PECOS PAC ID: 0840255014 Enrollment ID: I20041130000217 |
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