NPI 1083125520
Brandon Smalls
Practice location
- Address
- 3001 W Berks St, Philadelphia, PA 19121-1801
- Phone
- (215) 684-5083
- Mailing address
- 266 W Wendy Way, King of Prussia, PA 19406-3483
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1083125520
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Oct 2017
- Record last updated
- 23 Oct 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.