Organization
DPMPUNNIPRPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYEOTI PUNNI DPM (OWNER)
(609) 334-0700
Entity
Organization
Contact information
Practice address
1923 WELSH RD, PHILADELPHIA, PA 19115-4659
(215) 677-3222
(215) 677-3241
Mailing address
1923 WELSH RD, PHILADELPHIA, PA 19115-4659
(215) 677-3222
(215) 677-3241
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006182
PA
Other
Enumeration date
07/23/2010
Last updated
12/14/2010
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