Provider Demographics
NPI:1386972255
Name:COLEMAN, BRITTANY ROSE (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ROSE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ROSE
Other - Last Name:KLUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:301 SOUTH 8TH STREET
Mailing Address - Street 2:THE GARFIELD DUNCAN BUILDING, STE. 2C
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4017
Mailing Address - Country:US
Mailing Address - Phone:215-829-5022
Mailing Address - Fax:215-829-5060
Practice Address - Street 1:301 SOUTH 8TH STREET
Practice Address - Street 2:THE GARFIELD DUNCAN BUILDING, STE. 2C
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4017
Practice Address - Country:US
Practice Address - Phone:215-829-5022
Practice Address - Fax:215-829-5060
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054234363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical