Colonna, Joseph George
Colonna, Joseph George is an sole proprietor health care provider with primary practice located at 11350 Pembrooke Sq Suite 311, Waldorf MD 20603-4809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Colonna, Joseph George can be contacted via phone (301) 645-7011.Contact Information
Primary practice address
11350 Pembrooke Sq Suite 311
Waldorf MD 20603-4809
Phone: (301) 645-7011
Fax: (301) 645-7964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D32730 | Maryland |
Profile Details
| NPI number | 1801854179 |
|---|---|
| LBN Legal business name | Colonna, Joseph George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jan 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801854179 | NPPES |
| Maryland | Other | 2406 | MEDICARE PTAN |
| Maryland | MEDICAID | 448000700 | MEDICARE PTAN |
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