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Organization
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Active
Organization
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Active
Parent organization
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Authorized official
KENNETH J VEIT DO (SR VP FOR ACADEMIC AFFAIRS AND DEAN)
(215) 871-6562
Entity
Organization
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6562
(215) 871-6781
Mailing address
PO BOX 22383, NEW YORK, NY 10087-2383
(215) 871-6562
(215) 871-6905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007772030027
—
PA
01
—
CC3119
RAIL ROAD MEDICARE
PA
Enumeration date
06/10/2006
Last updated
09/13/2021
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