Individual
PAUL H. KOLBJORNSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2101
(413) 582-2949
Mailing address
291 MOODY ST, LUDLOW, MA 01056-1246
(800) 688-6663
(413) 589-7554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
74087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006711
BMC
MA
01
—
074087
TUFTS
MA
01
—
2359320
AETNA
MA
01
—
240477
HARVARD PILGRIM
MA
05
—
3079571
—
MA
01
—
3528769
CIGNA
MA
01
—
J11102
BCBSMA
MA
Enumeration date
03/31/2006
Last updated
07/08/2007
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