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1205973476
JACOB MATHEW
MERRILLVILLE, IN
NPI
1205973476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01028065A)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Dr. JACOB MATHEW MD
255 EAST 90 DR
MERRILLVILLE, IN 46410
Phone number: 219-791-0500
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Mailing Address
Dr. JACOB MATHEW MD
731 CIRQUE CT
CROWN POINT, IN 46307
Phone number: 219-810-8327
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