Provider Demographics
NPI:1760123384
Name:MATHEW, JOSHUA M (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:M
Last Name:MATHEW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 EAST ADAMS ST.
Mailing Address - Street 2:3RD FLR
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210
Mailing Address - Country:US
Mailing Address - Phone:315-464-6527
Mailing Address - Fax:315-464-1729
Practice Address - Street 1:725 EAST ADAMS ST.
Practice Address - Street 2:3RD FLR
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:315-464-6527
Practice Address - Fax:315-464-1729
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338256207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine