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Organization

DR. RONALD SMALL, D.P.M., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD J SMALL DPM (PRESIDENT)
(215) 924-2521
Entity
Organization

Contact information

Practice address
104 W CHELTENHAM AVE, PHILADELPHIA, PA 19120-1027
(215) 924-2521
(215) 924-2367
Mailing address
104 W CHELTENHAM AVE, PHILADELPHIA, PA 19120-1027
(215) 924-2521
(215) 924-2367

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC003322L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011782190007
PA
Enumeration date
05/28/2006
Last updated
10/23/2017
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