Individual
DR. ALAN R COLICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1944 CORLIES AVE, SUITE 206, NEPTUNE, NJ 07753-4862
(732) 774-8282
(732) 774-6816
Mailing address
1944 CORLIES AVE, SUITE 206, NEPTUNE, NJ 07753-4862
(732) 774-8282
(732) 774-6816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA47142
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521608
—
NJ
Enumeration date
11/16/2005
Last updated
01/14/2010
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