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Individual

DR. DONALD COLANTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
92 MONTVALE AVE, 2002, STONEHAM, MA 02180-3647
(781) 279-2030
(781) 279-2086
Mailing address
92 MONTVALE AVE, 2002, STONEHAM, MA 02180-3647
(781) 279-2030
(781) 279-2086

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26717
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0116815
MA
01
026717
TUFTS
MA
Enumeration date
01/23/2006
Last updated
07/08/2007
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