Organization
PRO SUPPORT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON B SMALL DPM (OWNER/DR.)
(610) 664-0848
Entity
Organization
Contact information
Practice address
327 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2815
(610) 664-0848
(610) 664-7707
Mailing address
327 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2815
(610) 664-0848
(610) 664-7707
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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