IndividualActive
Ajin Mathew
NPI 1447688098 · Physician Assistant · Waterbury, CT
Provider details
- NPI number
- 1447688098
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1389 W Main St
Suite 120
Waterbury, CT 06708-3104
Phone: (203) 573-9418
Fax: (203) 346-7974
Approximate (ZIP-level) locationGet directions
Mailing address
1389 W Main St
Waterbury, CT 06708-3104
Registry dates
- Enumerated
- 2013-10-17
- Last updated
- 2015-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.