Dr. Ronald J Small
Foot Surgery
104 W Cheltenham Ave
Philadelphia
, Pennsylvania 19120-1027
Dr. Ronald J Small
Foot Surgery
104 W Cheltenham Ave
Philadelphia
, Pennsylvania 19120-1027
(215) 924-2367
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Ronald J Small
- 104 W Cheltenham Ave
- Philadelphia, PA
- Zip : 19120-1027
- Fax : (215) 924-2367
- Phone : (215) 924-2521
Second Address
- Dr. Ronald J Small
- 104 W Cheltenham Ave
- Philadelphia, PA
- Zip : 19120-1027
- Fax : (215) 924-2367
- Phone : (215) 924-2521
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | SC003322L | PA |
National Provider Identifier
| NPI | 1174500722 |
|---|---|
| Provider Name | Dr. Ronald J Small |
| First Address | Philadelphia, PA 19120-1027 |
| Second Address | Philadelphia, PA 19120-1027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/12/2005 |
| Last Update Date | 14/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0011782190007 | (05) | PA |
| T90995 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.