Individual
PAUL L EZEUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
(215) 965-0326
(215) 965-0377
Mailing address
2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
(215) 965-0326
(215) 965-0377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT018485
PA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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