Provider Demographics
NPI:1346268000
Name:MATHOS, JULIA T (DO)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:T
Last Name:MATHOS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2976 CLAY PIKE
Mailing Address - Street 2:
Mailing Address - City:RILLTON
Mailing Address - State:PA
Mailing Address - Zip Code:15678-2706
Mailing Address - Country:US
Mailing Address - Phone:724-446-5567
Mailing Address - Fax:724-446-5577
Practice Address - Street 1:2976 CLAY PIKE
Practice Address - Street 2:
Practice Address - City:RILLTON
Practice Address - State:PA
Practice Address - Zip Code:15678-2706
Practice Address - Country:US
Practice Address - Phone:724-446-5567
Practice Address - Fax:724-446-5577
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2015-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS006027L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011431060009Medicaid
PA529705U31Medicare PIN
PAD75992Medicare UPIN