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Individual

JOSEPH COLLACO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 N WOLFE ST, JOHNS HOPKINS PEDIATRIC PULMONARY, BALTIMORE, MD 21287-0011
(410) 955-2035
(410) 955-1030
Mailing address
200 N WOLFE ST, JOHNS HOPKINS HOSPITAL - PEDIATRIC PULMONARY, BALTIMORE, MD 21287
(410) 955-2035
(410) 955-0130

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
D0060076
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
402376500
MD
Enumeration date
01/29/2007
Last updated
03/06/2012
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