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Individual

BARBARA A COLOSIMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3411 GRAYSTONE PL SE, CONOVER, NC 28613-8200
(828) 328-1118
(828) 328-1119
Mailing address
1161 DAISY LN, HICKORY, NC 28602-9539
(828) 328-1118
(828) 328-1119

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
207537
NC
208000000X
Pediatrics Physician
ME71072
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073569042
NC
05
279271100
FL
Enumeration date
05/25/2006
Last updated
09/16/2015
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