Individual
ANTHONY COLAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6334 ELMWOOD AVE, PHILA, PA 19142
(215) 726-7066
(215) 724-5911
Mailing address
411 WILLIAMSON RD, GLADWYNE, PA 19035
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD0330026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0668091
—
PA
Enumeration date
04/02/2007
Last updated
07/01/2013
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