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Individual

DR. THERESA J COLONNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
891 WESTMINSTER ST, PROVIDENCE, RI 02903-4020
(401) 331-7850
(401) 274-4739
Mailing address
891 WESTMINSTER ST, PROVIDENCE, RI 02903-4020
(401) 331-7850
(401) 274-4739

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA-00511
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000029299
BLUE CROSS BLUE SHIELD
RI
01
24-62310
UNITED HEALTHCARE
01
30483
NEIGHBORHOOD HEALTH PLAN
RI
01
412343
BLUE CHIP
RI
05
7010622
RI
Enumeration date
07/29/2005
Last updated
05/06/2025
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