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NPI 1790245470

NPI 1790245470 : SHERYL MATHEW MD : VOORHEES, NJ

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General NPI Number Information
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    NPI Number           |    1790245470
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    Entity Type          |    Individual 
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    Provider Name        |    SHERYL MATHEW MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2019
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    Last Update Date     |    02/20/2025
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Provider Practice Location Address
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    Address Line         |    1000 WHITE HORSE RD STE 904 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-4415
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    Country              |    US
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    Telephone            |    856-576-5747
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    Fax                  |    856-519-5265
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Provider Business Mailing Address
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    Address Line         |    660 WHITE PLAINS RD STE 400 
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    City                 |    TARRYTOWN
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    State                |    NY
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    Zip                  |    10591-5107
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    Country              |    US
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    Telephone            |    914-984-2546
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD485341
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207RA0201X
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    Taxonomy Name        |    Allergy & Immunology (Internal Medicine) Physician
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    License Number       |    25MA12259300
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology Physician
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    License Number       |    25MA12259300
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    License Number State |    NJ
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