Organization
STATUM HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIK KESHOR SHETH (FOUNDER/CEO)
(717) 443-1407
Entity
Organization
Contact information
Practice address
801 MARKET ST, PHILADELPHIA, PA 19107-3126
(717) 443-1407
Mailing address
2119 E NORRIS ST, PHILADELPHIA, PA 19125-1924
(717) 443-1407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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