Individual
BEVERLY G COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPITAL, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-9348
Mailing address
100 PENN SQUARE EAST, 9TH FL NORTH TOWER, RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPITAL, PHILADELPHIA, PA 19104-4319
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD017175E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006954370001
—
PA
Enumeration date
06/29/2006
Last updated
03/17/2017
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