Individual
MRS. COLLEEN HOGAN TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111-2434
(215) 728-2500
Mailing address
333 COTTMAN AVE, ENROLLMENT DEPT., PHILADELPHIA, PA 19111-2434
(215) 214-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053367
PA
363A00000X
Physician Assistant
PA04371
TX
Other
Enumeration date
10/27/2006
Last updated
02/17/2009
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