Individual
PAUL KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
610 W GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462-1062
(610) 525-4966
Mailing address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
136858
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/05/2021
Last updated
10/18/2023
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