Casey Coleman, MD, MPH
Pediatrics in Philadelphia, PA. Individual provider (NPI-1).
NPI number1083000608
StatusActive
Last updated in NPPESJun 11, 2020
Details
- NPI
- 1083000608
- Entity type
- Individual (NPI-1)
- Name
- Casey Coleman
- Credential
- MD, MPH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2015
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD464270 | PA | Yes |
| 208000000X | Pediatrics | FC7973654 | DE | |
| 208000000X | Pediatrics | C7-0005924 | DE | |
| 208000000X | Pediatrics | HS000240L | PA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
833 Chestnut St Ste 300Philadelphia, PA 19107-4405
Phone 302-861-8800 · Fax 215-861-8815
Mailing address
833 Chestnut St Ste 300Philadelphia, PA 19107-4405
Phone 215-861-8800 · Fax 215-861-8815
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