Provider Demographics
NPI:1346531274
Name:CHERIAN, MATHEW
Entity Type:Individual
Prefix:
First Name:MATHEW
Middle Name:
Last Name:CHERIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11522
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-0522
Mailing Address - Country:US
Mailing Address - Phone:267-263-3911
Mailing Address - Fax:215-444-0335
Practice Address - Street 1:780 FALCON CIR
Practice Address - Street 2:SUITE 117
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5130
Practice Address - Country:US
Practice Address - Phone:267-263-3911
Practice Address - Fax:215-444-0335
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport