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Individual

CARLY JEAN COULOMBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
240 E GIRARD AVE UNIT 1, PHILADELPHIA, PA 19125-3929

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA

Other

Enumeration date
09/13/2025
Last updated
09/25/2025
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