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1083744171
KOLATHU A MATHEW
WEST ISLIP, NY
NPI
1083744171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 111422)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Dr. KOLATHU A MATHEW M.D.
720 MONTAUK HWY
WEST ISLIP, NY 11795-4411
Phone number: 631-669-2900
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Mailing Address
Dr. KOLATHU A MATHEW M.D.
720 MONTAUK HWY
WEST ISLIP, NY 11795-4411
Phone number: 631-669-2900
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