Individual
DIANA MARIE COLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 UTOPIA PKWY, JAMAICA, NY 11439-9000
(718) 390-4500
Mailing address
407 COMMONS DR, EAST BRUNSWICK, NJ 08816-5211
(173) 256-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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