Individual
DANETTE T COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BOULDER POINT DR STE 1, PLYMOUTH, NH 03264-3170
(603) 536-4000
(603) 536-4000
Mailing address
101 BOULDER POINT DR STE 1, PLYMOUTH, NH 03264-3170
(603) 536-4000
(603) 536-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
159758
MA
208000000X
Pediatrics Physician
Primary
19572
NH
208000000X
Pediatrics Physician
64573
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016422
NEIGHBORHOOD HLTH PLAN
MA
01
—
042297845
GREAT WEST HEALTH CARE
MA
05
—
100051863
—
WI
01
—
159758
TUFTS
MA
05
—
3118251
—
NH
05
—
3191664
—
MA
01
—
42310
FALLON
MA
01
—
710585
HVD PILGRIM HEALTH CARE
MA
01
—
7457583
AETNA
MA
01
—
B10361201
CIGNA
MA
01
—
J19947
BCBS
MA
Enumeration date
10/21/2005
Last updated
09/06/2023
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