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NPI Code Detail

MEDICARE: DOUGLAS COLSON RN

MEDICARE: DOUGLAS COLSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered NurseRN778037PA

General Provider Information

NPI Number : 1124958756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS COLSON RN
Provider Business Mailing Address
First Line : 244 QUEEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3319
Country : US
Telephone Number : 912-655-0992
Fax Number :
Provider Business Practice Location Address
First Line : 51 N 39TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2640
Country : US
Telephone Number : 215-662-8215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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