Individual
DR. SOUMYA D CHAKRAVARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
219 N BROAD ST FL 9, PHILADELPHIA, PA 19107-1506
(215) 762-2688
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
25MA09456300
NJ
207RR0500X
Rheumatology Physician
Primary
MD450553
PA
Other
Enumeration date
06/05/2008
Last updated
08/30/2016
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