Individual
DR. JOSEPH A COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-03-9725-C
OH
208600000X
Surgery Physician
46279
WI
208600000X
Surgery Physician
MD28836
OR
2086S0129X
Vascular Surgery Physician
MD28836
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00834436
MEDICARE RAILROAD
OR
05
—
500601756
—
OR
Enumeration date
08/07/2006
Last updated
09/30/2014
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