Individual
JOHN W COLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING 3RD FLOOR, NEW HAVEN, CT 06519-1369
(203) 785-2815
(203) 785-4043
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036647
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001366477
—
CT
Enumeration date
12/09/2005
Last updated
06/25/2008
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