Individual
CRYSTAL M COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 COTTAGE ST, LITTLETON, NH 03561-4101
(603) 444-7070
(603) 444-4075
Mailing address
220 COTTAGE ST, LITTLETON, NH 03561-4101
(603) 444-7070
(603) 444-4075
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0611
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30334835
—
NH
05
—
9000321
—
VT
01
—
RE5088
MEDICARE B GROUP
NH
Enumeration date
12/20/2006
Last updated
04/16/2008
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