Provider Demographics
NPI:1649487406
Name:MATHEW, JULIE DAVID (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:DAVID
Last Name:MATHEW
Suffix:
Gender:
Credentials:PA-C
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Mailing Address - Street 1:271 GROVE AVE STE E
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-1730
Mailing Address - Country:US
Mailing Address - Phone:973-559-3700
Mailing Address - Fax:833-484-1686
Practice Address - Street 1:271 GROVE AVE
Practice Address - Street 2:STE A
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044
Practice Address - Country:US
Practice Address - Phone:973-239-2600
Practice Address - Fax:833-495-1921
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2025-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00148800363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant