Individual provider · Type 1 NPI

Wanda Coston, MD

General Practice Physician · Philadelphia, PA

NPI number 1417281163 Active

Practice location

125 S 9th St
Philadelphia, PA 19107-5125

Call (215) 592-4500 Map

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XMD441753 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000XMD441753 (PA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1417281163

Wanda Coston, MD's National Provider Identifier is 1417281163, issued on Sep 29, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 22, 2021.