Individual
ANNAMARIE KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5376
(610) 431-5527
Mailing address
100 PENN SQUARE EAST, CHCA GENERAL PEDIATRICS, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS018794
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033657140001
—
PA
Enumeration date
04/27/2014
Last updated
11/20/2018
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