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NPI Code Detail

MEDICARE: DR. JANE LOUISE COLEMAN M.D.

MEDICARE: DR. JANE LOUISE COLEMAN M.D.
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
12080N0001XNeonatal-Perinatal Medicine Physician25MA04583900NJ

General Provider Information

NPI Number : 1730130550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANE LOUISE COLEMAN M.D.
Provider Business Mailing Address
First Line : 819 MEREDITH DR
Second Line :
City : MEDIA
State : PA
Zip : 19063-1740
Country : US
Telephone Number : 610-566-7849
Fax Number :
Provider Business Practice Location Address
First Line : 18 LAUREL RD E
Second Line :
City : STRATFORD
State : NJ
Zip : 08084-1327
Country : US
Telephone Number : 856-346-6208
Fax Number : 856-346-6009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 07/31/2008

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