Individual
KOLIN DIANE GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6TH & SPRUCE STREETS, READING HOSPITAL, WEST READING, PA 19611
(484) 628-8070
(484) 628-5289
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD063805L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001757463
—
PA
01
—
0071731000
PERSONAL CHOICE
PA
01
—
297502000
MIS
PA
01
—
434704
BLUE SHIELD
PA
01
—
P00213532
RAILROAD MEDICARE
PA
Enumeration date
07/12/2006
Last updated
04/25/2013
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