Individual
DR. TODD MICHAEL COLONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 RESEARCH BLVD, ROCKVILLE, MD 20850-3215
(301) 990-6565
(301) 990-8525
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0055661
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00020966
MEDICARE RAILROAD NUMBER
—
Enumeration date
01/18/2006
Last updated
09/19/2016
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