Individual
BETH A COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-4161
(508) 856-6703
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
269907
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2012
Last updated
10/22/2020
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