Individual
DR. COLLEEN MARIE INTATANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1961 MORRIS AVE STE B1, UNION, NJ 07083-3519
(908) 688-3883
Mailing address
1961 MORRIS AVE STE B1, UNION, NJ 07083-3519
(908) 688-3883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22CIO2694100
NJ
1223G0001X
General Practice Dentistry
50054694
NY
Other
Enumeration date
09/24/2009
Last updated
09/22/2022
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