Colleen Gulczynski, DO | |
2510 Maryland Rd, Suite 160, Willow Grove, PA 19090-1109 | |
(215) 672-6622 | |
(215) 672-6566 |
Full Name | Colleen Gulczynski |
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Gender | Female |
Speciality | Pediatrics |
Location | 2510 Maryland Rd, Willow Grove, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457356511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS010396L (Pennsylvania) | Primary |
Entity Name | Trinity Health Mid-atlantic Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
Entity Name | St Mary Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083622286 PECOS PAC ID: 4688588064 Enrollment ID: O20190404000590 |
Mailing Address | Practice Location Address |
---|---|
Colleen Gulczynski, DO 41 University Dr Ste 300, Newtown, PA 18940-1873 Ph: (215) 710-5522 | Colleen Gulczynski, DO 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090-1109 Ph: (215) 672-6622 |
John Kleback, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090 Phone: 215-672-6622 Fax: 215-672-6566 | |
Katherine Ann Mcgeary, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2510 Maryland Rd, #160, Willow Grove, PA 19090 Phone: 215-672-6622 | |
Dr. Patricia Harger Holtz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090 Phone: 215-672-6622 Fax: 215-672-6566 | |
Kevin J Kelly, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Blair Mill Rd, Suite 6, Willow Grove, PA 19090 Phone: 215-293-8800 Fax: 215-293-9053 | |
Dr. Nicole Marie Dominick-rizen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2510 Maryland Rd, Ste #160, Willow Grove, PA 19090 Phone: 215-672-6622 |