Individual
DR. PAUL KOLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 BALTIMORE PIKE, SPRINGFIELD, PA 19064-3810
(484) 470-2600
(215) 952-9138
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-066470-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001716012
—
PA
05
—
7755708
—
NJ
Enumeration date
07/13/2006
Last updated
08/10/2021
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