Individual
MRS. USHA MATHEW CHILDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
536 WALNUT LN, REAR, PHILADELPHIA, PA 19128-1741
(215) 482-3510
(215) 482-5695
Mailing address
432 W WALNUT LN, PHILADELPHIA, PA 19144-3715
(215) 849-2204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD024090E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0730170
—
PA
Enumeration date
06/12/2006
Last updated
07/08/2007
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