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Contact Information

WILVEN SMOODY
3801 FILBERT ST STE 111
PHILADELPHIA, PA19104
 Phone: 215-662-9563
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for WILVEN SMOODY · (Male)

NPI # 1386445559
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2025
Last updated 07/30/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • PA License # 11235813
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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