Healthcare Provider Details

I. General information

NPI: 1801823497
Provider Name (Legal Business Name): TERENCE C DUNN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 01/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8815 GERMANTOWN AVE SUITE 11
PHILADELPHIA PA
19118-2722
US

IV. Provider business mailing address

8815 GERMANTOWN AVE SUITE 11
PHILADELPHIA PA
19118-2722
US

V. Phone/Fax

Practice location:
  • Phone: 215-247-0879
  • Fax: 215-247-7014
Mailing address:
  • Phone: 215-247-0879
  • Fax: 215-247-7014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC002930L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: