MEDICARE: DR. MAJU MATHEWS 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
1	2084P0800X	Psychiatry Physician	25MA08705700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508801010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAJU MATHEWS MD

Provider Business Mailing Address
First Line	:	10 LONGWOOD LN
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-3928
Country	:	US
Telephone Number	:	609-760-8910
Fax Number	:	215-255-7825

Provider Business Practice Location Address
First Line	:	851 ROUTE 73 N STE C
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-1275
Country	:	US
Telephone Number	:	856-512-8108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	07/21/2022

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