Individual provider · Type 1 NPI

Samantha Colosi, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1417328311 Active

Practice location

1500 Walnut St Ste 1240
Philadelphia, PA 19102-3524

Call (267) 687-4437 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XOA003613 (PA)
Physician Assistant 363A00000X25MP00377900 (NJ)
Medical Physician Assistant Primary 363AM0700XMA057786 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1417328311

Samantha Colosi, PA-C's National Provider Identifier is 1417328311, issued on Oct 18, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 19, 2016.