Individual
MR. MATTHEW COLONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 43214-3937
(614) 255-6900
(614) 255-6901
Mailing address
1501 BYNG DR, SOUTH CHARLESTON, WV 25303-1716
(304) 767-8693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008261RX
OH
Other
Enumeration date
09/19/2022
Last updated
06/07/2024
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