Individual
KOMAL JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
130 S BRYN MAWR AVE STE H321, BRYN MAWR, PA 19010
(484) 337-4097
(484) 337-4082
Mailing address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS019200
PA
208M00000X
Hospitalist Physician
Primary
OS019200
PA
Other
Enumeration date
06/04/2015
Last updated
11/13/2024
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