| NPI | 1154500304 |
|---|---|
| Former Name | SHUBHAMVADA MATHUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA08428200) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 234035) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2009-02-04 |