Individual
POONAM MAHESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5800 RIDGE AVENUE, PHILADELPHIA, PA 19128
(757) 971-2065
Mailing address
130 MONUMENT RD APT 337, BALA CYNWYD, PA 19004-1760
(757) 971-2065
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007376
PA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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