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Individual

JUDITH COLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
601 WALNUT ST, SUITE 925, PHILADELPHIA, PA 19106-3323
(215) 829-8000
Mailing address
601 WALNUT ST, SUITE 925, PHILADELPHIA, PA 19106-3323
(215) 829-8000

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW0080552
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015913390001
PA
Enumeration date
07/28/2006
Last updated
07/17/2013
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