Individual
DEEPALI MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2137 WELSH RD STE 2E, PHILADELPHIA, PA 19115-4963
(215) 747-4511
Mailing address
4411 SANSOM ST, PHILADELPHIA, PA 19104-2915
(267) 972-7163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018841
PA
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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