Individual
DR. MARC COLACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
WAKE FOREST BAPTIST HOSPITAL, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(908) 230-6698
Mailing address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2021-00390
NC
2088P0231X
Pediatric Urology Physician
2021-00390
NC
Other
Enumeration date
04/19/2014
Last updated
08/09/2021
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