IndividualActive
Liju Mathew
NPI 1649102864 · Adult Medicine Physician · Southampton, PA
Provider details
- NPI number
- 1649102864
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 207QA0505X (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1791 Whitebriar Rd
Southampton, PA 18966-4555
Phone: (267) 399-0535
Approximate (ZIP-level) locationGet directions
Mailing address
1791 Whitebriar Rd
Southampton, PA 18966-4555
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.