Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 45128 | MA |
Y | 2080P0202X | Pediatric Cardiologist | 45128 | MA |
NPI | 1255305074 |
---|---|
Provider Name | Dr. Steven Donald Colan |
First Address | Boston, MA 02284-5628 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 10/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003054392 | (05) | CT |
1098719 | (05) | NY |
30001169 | (05) | NH |
7500121 | UNITED HEALTHCARE MA (01) | MA |
7610392 | (05) | NC |
99254901 | NETWORK HEALTH (01) | MA |
AA9210 | HARVARD PILGRIM (01) | MA |
B20086501 | CIGNA MA (01) | MA |
E02087 | (02) | |
E05286 | BCBS MA (01) | MA |
SC03665 | (05) | RI |