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Individual

DR. JASON DELCOLLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
300 EVERGREEN DR, SUITE 330, GLEN MILLS, PA 19342-1059
(610) 579-3444
(610) 579-3449
Mailing address
300 EVERGREEN DR, SUITE 330, GLEN MILLS, PA 19342-1059
(610) 579-3444
(610) 579-3449

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C20009997
DE
207Q00000X
Family Medicine Physician
Primary
OS015963
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902033707
DE
Enumeration date
06/18/2009
Last updated
03/17/2022
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