Individual
DR. CAROL L COLDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
495 THOMAS JONES WAY, SUITE 210 MAIN LINE HEALTH CENTER, EXTON, PA 19341-2553
(484) 565-8550
(610) 280-1569
Mailing address
495 THOMAS JONES WAY, SUITE 210 MAIN LINE HEALTH CENTER, EXTON, PA 19341-2553
(484) 565-8550
(610) 280-1569
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD041974L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279605
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
01/27/2006
Last updated
10/20/2011
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