Bency Mathai MD Pllc

NPI #1194967166 in Jackson, Michigan

Provider Information

NPI Number: 1194967166
Entity Type: Organization
Organization Name: Bency Mathai MD Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Apr 6, 2009
Last Updated: Apr 6, 2009

Practice Location

Address: 1310 GREENWOOD AVE
City: Jackson
State: Michigan
ZIP Code: 49203-3077
Phone: (517) 960-3966

Authorized Official

Name: BENCY MATHAI, MD
Title: PHYSICIAN
Phone: (517) 960-3966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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