Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRAKASH JOEL MATHEW, MD, MBA
ActiveDR. PRAKASH JOEL MATHEW, MD, MBA is a Plastic Surgery healthcare provider located in PHILDELPHIA, Pennsylvania. NPI 1356698013 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · PHILDELPHIA, PA
Registration Details
- NPI Number
- 1356698013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2012 (13.965087498894 yrs)
- Last Updated
- Nov 4, 2024
- Licenses
-
25MA11102600 (NJ)MD473789 (PA)
Practice Information
- Address
-
3400 SPRUCE STPHILDELPHIA, PA, 191044206Browse PA providers · Browse ZIP 19104
- Phone
- 2156622096
- Fax
- 2153495895
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.