Individual
JOSEPH M. COLASANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519-1369
(203) 785-2140
Mailing address
94 WOODLAND STREET, DEPT. OF RADIATION ONCOLOGY, HARTFORD, CT 06105
(860) 714-4568
(860) 714-8019
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
039833
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001398339
—
CT
Enumeration date
10/12/2005
Last updated
03/28/2014
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