Individual
GERALD COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 LINDLEY AVE, PHILADELPHIA, PA 19141-3920
(215) 487-0904
Mailing address
4443 LORING ST, PHILADELPHIA, PA 19136-4015
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
PA
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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