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Contact Information

ANTHONY COLAVITA, MD
6334 ELMWOOD AVE
PHILADELPHIA, PA19142
 Phone: 215-726-7066
 Fax: 215-724-5911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ANTHONY COLAVITA · (Male)

NPI # 1457472300
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2007
Last updated 07/01/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD0330026
  • PA Medicaid 0668091
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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