Idichandy, Mariamma Mathew

Idichandy, Mariamma Mathew is an individual health care provider with primary practice located at 5501 Old York Rd Ste 1 , Philadelphia PA 19141-3098. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Idichandy, Mariamma Mathew can be contacted via phone (215) 456-7890.

Contact Information

Primary practice address
5501 Old York Rd Ste 1 Philadelphia PA 19141-3098
Phone: (215) 456-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 210460994 Pennsylvania

Profile Details

NPI number 1659093698
LBN Legal business name Idichandy, Mariamma Mathew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2022
Last updated Sep 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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