person
Dr. Ronald J Small, DPM
Foot Surgery Podiatrist in Philadelphia, Pennsylvania
NPI 1174500722

Ronald J Small is a Foot Surgery Podiatrist based in Philadelphia, PA and is specialized in Foot Surgery. Ronald J Small practices in Philadelphia, PA and has the professional credentials of DPM. The NPI Number for Ronald J Small is 1174500722 and holds a License No. SC003322L (Pennsylvania).

The current practice location address for Ronald J Small is 104 W Cheltenham Ave, Philadelphia, PA and can be reached out via phone at 215-924-2521 and via fax at 215-924-2367.

Location: 104 W Cheltenham Ave, Philadelphia, PA, 19120-1027
person
Provider Profile Details
NPI Number
1174500722
Provider Name
Ronald J Small
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
104 W Cheltenham Ave, Philadelphia, PA, 19120-1027
Phone Number
215-924-2521
Fax Number
215-924-2367
Provider Enumeration Date
12/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011782190007 05 PA
institution
Provider Business Practice Location Address Details
Address
104 W Cheltenham Ave
City
State
Zip
19120-1027
Phone Number
215-924-2521
Fax Number
215-924-2367
person
Provider Business Mailing Address Details
Address
104 W Cheltenham Ave
City
State
Zip
19120-1027
Phone Number
215-924-2521
Fax Number
215-924-2367
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
SC003322L (Pennsylvania)
Definition
Definition to come...
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