Mathew, Bobby
Mathew, Bobby is an individual health care provider with primary practice located at 818 Ellicott St , Buffalo NY 14203-1021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Mathew, Bobby can be contacted via phone (716) 323-0260.Contact Information
Primary practice address
818 Ellicott St
Buffalo NY 14203-1021
Phone: (716) 323-0260
Fax: (716) 323-0294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 003058 | New York |
Profile Details
| NPI number | 1831359207 |
|---|---|
| LBN Legal business name | Mathew, Bobby |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2008 |
| Last updated | Jun 28th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831359207 | NPPES |
| Other | 080801000081 | FIDELIS | |
| Other | 2115250 | FIDELIS | |
| MEDICAID | 03014486 | FIDELIS | |
| Other | 000530534003 | FIDELIS |
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