Doctor Name: | ELIZABETH A COLAIOCCO |
NPI Number: | 1396968996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNC |
License Number: | 26NN08808200 |
Business Practice Address: | 1 Robertson Dr Suite #25 Bedminster, NJ - 079211716 |
Business Phone Number: | 9085320788 |
Business Fax Number: | 9085320787 |
Mailing Address: | 16 Colby Dr, BYRAM TOWNSHIP |
State: | NJ |
Postal Code: | 078213904 |
Phone Number: | 9736709520 |
Fax Number: | 9736918863 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NN08808200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |