Active NPIIndividual provider

Ajin Mathew

Physician Assistant in Waterbury, Connecticut

NPI Number1447688098
Practice location
1389 W Main St, Suite 120, Waterbury, CT 06708-3104
Fax
203-346-7974
Last updated
September 8, 2015

Ajin Mathew is a Physician Assistant based in Waterbury, CT. Ajin Mathew practices in Waterbury, CT. The NPI Number for Ajin Mathew is 1447688098. The current practice location address for Ajin Mathew is 1389 W Main St, Suite 120, Waterbury, CT 06708-3104 and can be reached out via phone at 203-573-9418 and via fax at 203-346-7974.

Provider Profile Details

NPI Number
1447688098
Provider Name
Ajin Mathew
Provider Entity Type
Individual
Gender
Male
Address
1389 W Main St, Suite 120, Waterbury, CT 06708-3104
Phone Number
203-573-9418
Fax Number
203-346-7974
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2013
Last Update Date
September 8, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1389 W Main St
Suite 120
Waterbury, CT 06708-3104
Zip
06708-3104
Phone Number
203-573-9418
Fax Number
203-346-7974
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
1389 W Main St
Suite 120
Waterbury, CT 06708-3104
City
Waterbury
State
CT
Zip
06708-3104
Phone Number
551-497-3927
Fax Number
203-346-7974

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ajin Mathew?

The NPI number of Ajin Mathew is 1447688098. It was assigned on October 17, 2013 and is currently active in the NPPES registry.

What is the specialty of Ajin Mathew?

Ajin Mathew is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Ajin Mathew practice?

The practice location is 1389 W Main St, Suite 120, Waterbury, CT 06708-3104. The office can be reached at 203-573-9418 (phone) or 203-346-7974 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447688098 directly on the NPPES registry website.

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