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Individual

ANDREA COLAGIACOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 RITCHIE HWY, SEVERNA PARK, MD 21146-2953
(240) 419-9658
Mailing address
17100 URBY CT, UPPER MARLBORO, MD 20772-3321

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R251120
MD

Other

Enumeration date
11/18/2025
Last updated
11/18/2025
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