DR. Susamma Mathew, MD

NPI #1942209259 in Lawrenceville, Georgia

Provider Information

NPI Number: 1942209259
Entity Type: Individual
Name: DR. Susamma Mathew, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jul 19, 2005
Last Updated: Feb 23, 2011

Practice Location

Address: 3525 SUGARLOAF PKWY
City: Lawrenceville
State: Georgia
ZIP Code: 30044-5403
Phone: (678) 377-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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