Abraham Mathew, M.D, PC
Organization Active NPI Family Medicine Physician · Finksburg, MD
NPI 1437213428 · NPPES record last updated Jul 24, 2007
Key facts
- NPI
- 1437213428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D53705 (MD)
- Legal business name
- ABRAHAM MATHEW, M.D, PC
- Practice address
- 3125 Baltimore Blvd
Finksburg, MD 21048-2307 - Phone
- (410) 861-8151
- Fax
- (410) 833-9045
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Abraham Mathew, M.D
- Title
- President
- Phone
- (410) 861-8151
Practitioners 1
-
Abraham Mathew, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050408000604 | MD | Part B Supplier - Clinic/Group Practice | 6002853355 |
Receives reassigned benefits from 1 practitioner Practice locations: Finksburg, MD |
National Provider Directory
Locations
3125 Baltimore Blvd
Finksburg, MD 21048
Phone (410) 861-8151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | D53705 | MD | Yes |
Addresses
Primary practice location
3125 Baltimore Blvd
Finksburg, MD 21048-2307
Mailing address
3125 Baltimore Blvd
PO Box 436
Finksburg, MD 21048-2307
Phone (410) 861-8151
Other providers in Finksburg, MD
- A Stepping Stone Counseling, LLC
- Earl Melvin Addicks
- Claire Adkinson
- Jill Susan Baldinger
- Beginning With Baby, LLC
- Mary Angel Berame
All providers in Finksburg, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.