Provider Demographics
NPI:1710092192
Name:KELMAN, TODD MARC (DO)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:MARC
Last Name:KELMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4190 CITY AVE STE 503
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1634
Mailing Address - Country:US
Mailing Address - Phone:215-871-1616
Mailing Address - Fax:215-871-1628
Practice Address - Street 1:4190 CITY AVE STE 503
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1634
Practice Address - Country:US
Practice Address - Phone:215-871-1616
Practice Address - Fax:215-871-1628
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005320L207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery