Doctor Name: | DR. JOHN RAJ MATHEW |
NPI Number: | 1013930627 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D0021527 |
Business Practice Address: | 377 S Harrison St Apt 10f East Orange, NJ - 070181219 |
Business Phone Number: | 9736767214 |
Business Fax Number: | |
Mailing Address: | 377 S Harrison St Apt 10f, EAST ORANGE |
State: | NJ |
Postal Code: | 070181219 |
Phone Number: | 9736767214 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0902X |
License Number: | D0021527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Imaging & Therapy |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear imaging and therapy. |