Individual
NATHAN COLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
258 BROAD ST, MILFORD, CT 06460-3226
(203) 882-5632
(203) 882-7200
Mailing address
2408 WHITNEY AVE, PO BOX 5576, HAMDEN, CT 06518-3209
(203) 407-3500
(203) 281-1164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005875
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005875CT03
ANTHEM BCBS
CT
Enumeration date
05/26/2006
Last updated
09/18/2007
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