Individual
PAUL M. COLOMBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, HARVEY 319, BALTIMORE, MD 21287-0005
(410) 955-2717
(410) 502-5314
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563
(410) 955-5210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D20848
MD
208600000X
Surgery Physician
Primary
D20848
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329191000
—
MD
Enumeration date
03/16/2006
Last updated
02/05/2013
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