Organization Name: | MATHEW B MATHEW MD PC |
NPI Number: | 1598187163 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATHEW B MATHEW (OWNER) |
Mailing Address: | 422 Worcester St Suite 204 Wellesley Hills |
State: | MA US |
Postal Code: | 024815341 |
Phone Number: | 7814167373 |
Fax Number: | 7814167379 |
NPI Enumeration Date: | 01/15/2014 |
NPI Last Update Date: | 01/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 246252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |