Organization
BALA PODIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON B SMALL DPM (PRESIDENT)
(610) 664-0848
Entity
Organization
Contact information
Practice address
327 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2815
(610) 664-0848
(610) 664-7707
Mailing address
327 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2815
(610) 664-0848
(610) 664-7707
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001870L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790806909
PHYSICIAN INDIVIDUAL NPI
PA
Enumeration date
06/26/2007
Last updated
08/22/2020
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