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1912977489
MAMMEN M MATHEW
FISHERSVILLE, VA
NPI
1912977489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: VA 0101037344)
Enumeration Date
2006-01-25
Last Update Date
2015-11-03
Business Address
Dr. MAMMEN M MATHEW M.D.
243 WOODROW WILSON LANE
FISHERSVILLE, VA 22939
Phone number: 540-332-7082
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Mailing Address
Dr. MAMMEN M MATHEW M.D.
243 WOODROW WILSON LANE PO BOX 1500 BOX W-1
FISHERSVILLE, VA 22939
Phone number: 540-332-7082
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