Individual
DR. COLLETTE AKHIMIONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, MS 345, PHILADELPHIA, PA 19102-1121
(215) 762-7644
Mailing address
3701 CONSHOHOCKEN AVE, # 313, PHILADELPHIA, PA 19131-5539
(405) 808-5202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT-200641
PA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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