Individual
DR. JOSEPH GEORGE COLONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11350 PEMBROOKE SQ, SUITE 311, WALDORF, MD 20603-4809
(301) 645-7011
(301) 645-7964
Mailing address
11350 PEMBROOKE SQ, SUITE 311, WALDORF, MD 20603-4809
(301) 645-7011
(301) 645-7964
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D32730
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2406
MEDICARE PTAN
MD
05
—
448000700
—
MD
Enumeration date
05/03/2006
Last updated
01/12/2010
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