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1760404255
PRASAD MATHEW
ALBUQUERQUE, NM
NPI
1760404255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: NM 99-83)
Enumeration Date
2006-07-24
Last Update Date
2018-08-21
Business Address
PRASAD MATHEW MD
AMBULATORY CARE CTR FL 3 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-5551
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Mailing Address
PRASAD MATHEW MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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