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Individual
ANDRE S COLACO
Active
Individual
ANDRE S COLACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0067263
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039732900
FEDERAL BLACK LUNG
—
01
—
145724700
FEDERAL WORKMAN'S COMP DEPT OF LABOR
—
01
—
1917064
AETNA HMO
—
01
—
219448
JOHNS HOPKINS HEALTHCARE
—
01
—
277001
KAISER PERMANENTE
—
05
—
4157249
—
MD
01
—
9269182
AETNA PPO
—
01
—
KJ77AN9398801
CAREFIRST MARYLAND
—
01
—
S3990051
CAREFIRST DC
—
Enumeration date
01/26/2007
Last updated
08/22/2018
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