Deepa Mathew, DO | |
5425 Lanark Rd, Center Valley, PA 18034-8697 | |
(484) 658-5437 | |
(866) 516-3475 |
Full Name | Deepa Mathew |
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Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 5425 Lanark Rd, Center Valley, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952782096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | 294354 (New York) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | OS021357 (Pennsylvania) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Deepa Mathew, DO 145 Dixon Ave, Staten Island, NY 10303-2803 Ph: (646) 464-3176 | Deepa Mathew, DO 5425 Lanark Rd, Center Valley, PA 18034-8697 Ph: (484) 658-5437 |
Emily Kraus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Circle, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2098 | |
Anuradha Rai, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 | |
Kelli Nicole Harajda-hurst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 | |
Sarah Elizabeth Kleinle, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 | |
Angela Marie Camasto, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 | |
Dr. Katie Kindt, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 | |
Katherine Still, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 |