Individual
DR. RONALD J SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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
12/26/2005
Last updated
10/14/2013
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