Colon, Modesto Jose
Colon, Modesto Jose is an individual health care provider with primary practice located at 3131 E Clarendon Ave Suite 102, Phoenix AZ 85016-7069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Colon, Modesto Jose can be contacted via phone (602) 253-9168.Contact Information
Primary practice address
3131 E Clarendon Ave Suite 102
Phoenix AZ 85016-7069
Phone: (602) 253-9168
Fax: (602) 251-3126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 52510 | Arizona |
Profile Details
| NPI number | 1083873574 |
|---|---|
| LBN Legal business name | Colon, Modesto Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Jul 25th, 2016 - about 9 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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