Individual
MRS. CAITLAN LISA PYDEN KOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
255 W. LANCASTER AVE, PAOLI, PA 19301
(484) 565-1510
(484) 565-1513
Mailing address
255 W. LANCASTER AVE, PAOLI, PA 19301
(484) 565-1510
(484) 565-1513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055429
PA
Other
Enumeration date
04/24/2012
Last updated
02/09/2016
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