Individual
DR. SURAJ HANSALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128
(215) 483-9900
Mailing address
5800 RIDGE AVE, PHILADELPHIA, PA 19128
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007006
PA
Other
Enumeration date
07/02/2019
Last updated
03/21/2022
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