Provider Demographics
NPI:1891078481
Name:MATHEW, BINDU (DPM)
Entity Type:Individual
Prefix:DR
First Name:BINDU
Middle Name:
Last Name:MATHEW
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 BRISTOL PIKE
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5210
Mailing Address - Country:US
Mailing Address - Phone:215-638-3338
Mailing Address - Fax:215-638-3030
Practice Address - Street 1:111 S FRONT ST
Practice Address - Street 2:PODIATRIC SURGICAL RESIDENCY COORDINATOR-BRADY 9
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2010
Practice Address - Country:US
Practice Address - Phone:267-252-4081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006297213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery