Individual
MR. PETER EDWIN COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 CRESCENT ST, BROCKTON, MA 02302-3104
(508) 941-0005
Mailing address
142 CRESCENT ST, BROCKTON, MA 02302-3104
(508) 941-0005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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