Toms P. Mathew M.D., P.C.
Organization Active NPI Internal Medicine Physician · New Boston, MI
NPI 1770798142 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1770798142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301058860 (MI)
- Legal business name
- TOMS P. MATHEW M.D., P.C.
- Practice address
- 19270 Hannan Rd
New Boston, MI 48164-9811 - Phone
- (734) 753-4350
- NPI assigned
- May 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Toms P Mathew, MD
- Title
- President
- Phone
- (734) 753-4320
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 4301058860 | MI | Yes |
Addresses
Primary practice location
19270 Hannan Rd
New Boston, MI 48164-9811
Mailing address
PO Box 725
New Boston, MI 48164-0725
Phone (734) 753-4350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4095933 | Medicaid | MI |
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All providers in New Boston, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.