Individual
DR. TERRENCE GLENDON ISHMAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB.BB
Contact information
Practice address
235 S 8TH ST, PHILADELPHIA, PA 19106-3519
(215) 829-3073
Mailing address
235 S 8TH ST, PHILADELPHIA, PA 19106-3519
(215) 829-3073
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD468019
PA
Other
Enumeration date
06/29/2011
Last updated
10/31/2019
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