Doctor Name: | EDWARD F. MATH |
NPI Number: | 1659429603 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G85252 |
Business Practice Address: | 1867 E Fir Ave Suite 104 Fresno, CA - 937203808 |
Business Phone Number: | 5593255800 |
Business Fax Number: | 5592561989 |
Mailing Address: | 1867 E Fir Ave, Suite 104 FRESNO |
State: | CA |
Postal Code: | 937203808 |
Phone Number: | 5593255800 |
Fax Number: | 5592561989 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 09/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | G85252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |