Individual
MR. RODOLFO COLACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
431 ELMORA AVE, ELIZABETH, NJ 07208-1576
(908) 353-4177
(908) 353-7201
Mailing address
431 ELMORA AVE, ELIZABETH, NJ 07208-1576
(908) 353-4177
(908) 353-7201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA04519200
NJ
207R00000X
Internal Medicine Physician
25MA04519200
NJ
208600000X
Surgery Physician
Primary
25MA04519200
NJ
2086S0105X
Surgery of the Hand (Surgery) Physician
25MA04519200
NJ
2086S0129X
Vascular Surgery Physician
25MA04519200
NJ
208C00000X
Colon & Rectal Surgery Physician
25MA04519200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359203
—
NJ
Enumeration date
04/27/2006
Last updated
03/04/2022
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