Individual
COLBY G COLASACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
200801452
NC
208000000X
Pediatrics Physician
Primary
2008-01452
NC
2080P0203X
Pediatric Critical Care Medicine Physician
2008-01452
NC
Other
Enumeration date
08/18/2008
Last updated
02/07/2017
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