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NPI Code Detail

MEDICARE: DR. BINOJ JOSEPH MATTHEW M.D., MHA

MEDICARE: DR. BINOJ JOSEPH MATTHEW M.D., MHA
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
1261QX0100XOccupational Medicine Clinic/CenterA138022CA

General Provider Information

NPI Number : 1922441187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BINOJ JOSEPH MATTHEW M.D., MHA
Provider Business Mailing Address
First Line : 645 E CHAMPLAIN DR APT 131
Second Line :
City : FRESNO
State : CA
Zip : 93730-1294
Country : US
Telephone Number : 559-355-0590
Fax Number :
Provider Business Practice Location Address
First Line : 4700 NORTHGATE BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1149
Country : US
Telephone Number : 916-929-6161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 03/17/2018

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