Individual
JOHN KOLETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
769 W BLAINE ST, RIVERSIDE, CA 92507-3970
(951) 358-4705
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD421215
PA
Other
Enumeration date
11/09/2007
Last updated
11/01/2021
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