Search › Pennsylvania › 363LA2100X
Suja Mathew, CRNP
NPI 1437743077 · on the registry since 2021 · sole proprietor
Practice
- Address
- 10203 Clark St
Philadelphia, PA 19116 - Phone
- (267) 312-2843
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania