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NPI Code Detail

MEDICARE: DR. MATHEW P CHERIAN DMD

MEDICARE: DR. MATHEW P CHERIAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS038325PA

General Provider Information

NPI Number : 1083935647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATHEW P CHERIAN DMD
Provider Business Mailing Address
First Line : 10210 GALAHAD RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-3854
Country : US
Telephone Number : 267-324-6388
Fax Number :
Provider Business Practice Location Address
First Line : 7419 NEW FALLS RD
Second Line :
City : LEVITTOWN
State : PA
Zip : 19055-1008
Country : US
Telephone Number : 267-324-6388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2010
Last Update Date : 06/17/2010

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