Mathew, Ted

Mathew, Ted is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mathew, Ted can be contacted via phone (910) 667-7000.

Contact Information

Primary practice address
2131 S 17Th St Wilmington NC 28401-7407
Phone: (910) 667-7000
Fax: (910) 815-5698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME 117253 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2021-01005 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME117253 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME117253 Florida

Profile Details

NPI number 1568651073
LBN Legal business name Mathew, Ted
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2007
Last updated Jun 30th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568651073 NPPES
Florida Other 14T6U BCBSFL
Florida MEDICAID 010406800 BCBSFL

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