Individual
AILISH CAMERON COBLENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF RADIOLOGY, PHILADELPHIA, PA 19104
(215) 590-2564
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF RADIOLOGY, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MT218767
PA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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