| Doctor Name: | MR. PATRICK JOSEPH COLBERT |
| NPI Number: | 1114062122 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN, CS |
| License Number: | 161005 |
| Business Practice Address: | 1 W Foster St Suite 213 Melrose, MA - 021763810 |
| Business Phone Number: | 7816621880 |
| Business Fax Number: | 7816621878 |
| Mailing Address: | 1 W Foster St, Suite 213 MELROSE |
| State: | MA |
| Postal Code: | 021763810 |
| Phone Number: | 7816621880 |
| Fax Number: | 7816621878 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 161005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |