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Individual

DR. RONALDO COLLO GO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3500
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3500
(551) 996-3298

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
256248
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA09753800
NJ
207RP1001X
Pulmonary Disease Physician
256248
NY
207RP1001X
Pulmonary Disease Physician
Primary
25MA09753800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03398170
NY
Enumeration date
09/19/2007
Last updated
08/12/2021
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