Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036-114606 | IL |
N | 2080P0204X | Pediatric Emergency Doctor | D0067848 | MD |
Y | 2080P0204X | Pediatric Emergency Doctor | MD036676 | DC |
NPI | 1134148588 |
---|---|
Provider Name | Dr. David J Mathison |
First Address | Bethesda, MD 20814-2115 |
Second Address | Washington, DC 20010-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 30/12/2013 |