Colandrea, Jean M

Colandrea, Jean M is an individual health care provider with primary practice located at 3455 Wilkens Ave Ste 208 , Baltimore MD 21229-5265. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Colandrea, Jean M can be contacted via phone (410) 644-4320.

Contact Information

Primary practice address
3455 Wilkens Ave Ste 208 Baltimore MD 21229-5265
Phone: (410) 644-4320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X D0030802 Maryland
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D0030802 Maryland

Profile Details

NPI number 1245320407
LBN Legal business name Colandrea, Jean M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245320407 NPPES
Maryland Other 61489901 BLUE SHIELD
Maryland Other W2270006 BLUE SHIELD

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