Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 005052 | NY |
N | 222Z00000X | Podiatrist | 005052 | NY |
Y | 213E00000X | Podiatrist | MD002165 | NJ |
Y | 222Z00000X | Podiatrist | MD002165 | NJ |
NPI | 1023181195 |
---|---|
Provider Name | Dr. Frank E. Colabella |
First Address | Hillsborough, NJ 08844-5071 |
Second Address | Fair Lawn, NJ 07410-1558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 28/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6177204 | (05) | NJ |
U18423 | (02) | NJ |