Individual
KUSHALDEEP FNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-7747
Mailing address
3223 N BROAD ST,, ROOM 2A05 (SECOND FLOOR), PHILADELPHIA,, PA 19140-1675
(215) 707-7747
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
DF11831
MA
1223P0700X
Prosthodontics
Primary
RFD000068
PA
Other
Enumeration date
02/27/2023
Last updated
03/14/2024
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