Individual
DR. CHARMAINE PRIYANKA MUTUCUMARANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC INFECTIOUS DISEASES, PHILADELPHIA, PA 19104
(267) 425-3377
Mailing address
2100 WALNUT ST APT 2K, PHILADELPHIA, PA 19103-4874
(919) 906-0968
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
MT224860
PA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MT224860
PA
Other
Enumeration date
04/04/2018
Last updated
06/22/2023
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