Individual
NATHAN OOMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
(215) 955-6864
Mailing address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
X
PA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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