Colaco, Rodolfo
Colaco, Rodolfo is an sole proprietor health care provider with primary practice located at 431 Elmora Ave , Elizabeth NJ 07208-1576. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Colaco, Rodolfo can be contacted via phone (908) 353-4177.Contact Information
Primary practice address
431 Elmora Ave
Elizabeth NJ 07208-1576
Phone: (908) 353-4177
Fax: (908) 353-7201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA04519200 | New Jersey |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA04519200 | New Jersey |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 25MA04519200 | New Jersey |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 25MA04519200 | New Jersey |
Other Service Providers / Specialist | 174400000X | 25MA04519200 | New Jersey |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA04519200 | New Jersey |
Profile Details
NPI number | 1912964537 |
---|---|
LBN Legal business name | Colaco, Rodolfo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 27th, 2006 |
Last updated | Mar 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912964537 | NPPES |
New Jersey | MEDICAID | 0359203 |
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