Individual
INTHUSHI SELVANAYAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5612 EASTON ROAD, PLUMSTEADVILLE, PA 18949-0866
(215) 766-8844
(215) 766-0733
Mailing address
5612 EASTON ROAD, P.O.BOX 866, PLUMSTEADVILLE, PA 18949-0866
(215) 766-8844
(215) 766-0733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD471690
PA
Other
Enumeration date
04/21/2017
Last updated
05/26/2022
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