Individual
CASEY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
833 CHESTNUT ST STE 300, PHILADELPHIA, PA 19107-4405
(302) 861-8800
(215) 861-8815
Mailing address
833 CHESTNUT ST STE 300, PHILADELPHIA, PA 19107-4405
(215) 861-8800
(215) 861-8815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C7-0005924
DE
208000000X
Pediatrics Physician
FC7973654
DE
208000000X
Pediatrics Physician
HS000240L
PA
208000000X
Pediatrics Physician
Primary
MD464270
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
06/11/2020
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