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Individual
ROBERT EUGENE COLELLA
Active
Individual
ROBERT EUGENE COLELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB06577200
NJ
208M00000X
Hospitalist Physician
25MB06577200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110239890
RAILROAD MEDICARE
NJ
05
—
8925101
—
NJ
Enumeration date
03/31/2006
Last updated
08/09/2012
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