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Contact Information

KOMAL JOSE, DO
130 S BRYN MAWR AVE STE H321
BRYN MAWR, PA19010
 Phone: 484-337-4097
 Fax: 484-337-4082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KOMAL JOSE · (Female)

NPI # 1114307006
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/04/2015
Last updated 11/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # OS019200
Hospital affiliation(s)
  • MAIN LINE HOSPITAL BRYN MAWR CAMPUS - (Acute Care)
    130 SOUTH BRYN MAWR AVE
    BRYN MAWR, PA 19010
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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