Organization
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH VEIT DO (SVP OF ACADEMIC AFFAIRS AND DEAN)
(215) 871-6770
Entity
Organization
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1633
(215) 871-6910
(251) 871-6905
Mailing address
4190 CITY AVE, SUITE 777, PHILADELPHIA, PA 19131-1633
(215) 871-6910
(215) 871-6905
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016978
PA
Other
Enumeration date
05/25/2011
Last updated
01/10/2012
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