Individual
JENNIFER T KOLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WALNUT ST, 12TH FLOOR, PHILADELPHIA, PA 19107-5109
(215) 829-8000
(215) 829-8623
Mailing address
800 WALNUT ST, 12 FLOOR, PHILADELPHIA, PA 19107-5109
(215) 829-8000
(215) 829-8623
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD423092
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009064810001
—
PA
Enumeration date
07/28/2006
Last updated
10/28/2013
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