Individual
MARK STEPHEN CODELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1403 RHAWN STREET, PHILADELPHIA, PA 19111-2430
(215) 728-6688
(215) 342-1337
Mailing address
41 UNIVERSITY DR STE 106, NEWTOWN, PA 18940-1873
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD034217E
PA
Other
Enumeration date
07/19/2006
Last updated
05/24/2021
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