Individual
JESSE A COALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5030 STATE RD, SUITE 2-500, DREXEL HILL, PA 19026-4605
(610) 394-1380
(610) 394-1385
Mailing address
5030 STATE RD, SUITE 2-500, DREXEL HILL, PA 19026-4605
(610) 394-1380
(610) 394-1385
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001098L
PA
Other
Enumeration date
12/14/2006
Last updated
08/07/2014
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