Individual
SAMANTHA COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-6400
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(973) 997-0888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207L00000X
Anesthesiology Physician
Primary
OT024291
PA
Other
Enumeration date
01/12/2017
Last updated
05/13/2025
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