Colicchio, Alan R

Colicchio, Alan R is an individual health care provider with primary practice located at 1944 Corlies Ave Suite 206, Neptune NJ 07753-4862. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Colicchio, Alan R can be contacted via phone (732) 774-8282.

Contact Information

Primary practice address
1944 Corlies Ave Suite 206 Neptune NJ 07753-4862
Fax: (732) 774-6816
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA47142 New Jersey

Profile Details

NPI number 1477535375
LBN Legal business name Colicchio, Alan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 14th, 2010 - about 14 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 1477535375 NPPES
New Jersey MEDICAID 1521608

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