KIMBERLY NICOLE ORTIZ DE SOUSA

PHILADELPHIA, PA
NPI1093558413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: PA  MT231711)
Enumeration Date2024-06-13
Last Update Date2024-06-19
Business Address
KIMBERLY NICOLE ORTIZ DE SOUSA MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 800-836-7536
Mailing Address
KIMBERLY NICOLE ORTIZ DE SOUSA MD
3500 N BROAD ST
PHILADELPHIA, PA 19140-4106
Phone number: