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NPI Code Detail

MEDICARE: NEIL ANAND MATHUR MD

MEDICARE: NEIL ANAND MATHUR MD
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
1207L00000XAnesthesiology Physician25MA10860800NJ

General Provider Information

NPI Number : 1164884359
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEIL ANAND MATHUR MD
Provider Business Mailing Address
First Line : 350 ENGLE ST
Second Line :
City : ENGLEWOOD
State : NJ
Zip : 07631-1808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 ENGLE ST
Second Line :
City : ENGLEWOOD
State : NJ
Zip : 07631-1898
Country : US
Telephone Number : 201-894-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2016
Last Update Date : 10/14/2021

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Directions to “ NEIL ANAND MATHUR MD” Practice Location

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