IndividualActive
Charmaine Mutucumarana, MD
NPI 1487150876 · Pediatric Infectious Diseases Physician · Philadelphia, PA
Provider details
- NPI number
- 1487150876
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MT224860 (PA)
Practice location
3401 Civic Center Blvd
Division of Pediatric Infectious Diseases
Philadelphia, PA 19104
Phone: (267) 425-3377
Mailing address
2100 Walnut St Apt 2k
Philadelphia, PA 19103-4874
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.