Individual
DR. JAMES DAVID KOLKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-2428
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-2640
(215) 662-2428
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
K0873
TX
2085R0001X
Radiation Oncology Physician
Primary
MD438043
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005265289
AETNA
—
05
—
046249101
—
TX
01
—
87Z840
BCBS
TX
01
—
920002341
RR MEDICARE
—
Enumeration date
01/30/2006
Last updated
11/28/2011
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