Healthcare Provider Details

I. General information

NPI: 1740307297
Provider Name (Legal Business Name): COLLEEN P ALLORTO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 NORTH ST
MILFORD DE
19963-2707
US

IV. Provider business mailing address

640 S. STATE STREET MAIL CODE 3055
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-725-3550
  • Fax: 302-725-3552
Mailing address:
  • Phone: 302-480-1688
  • Fax: 302-480-9807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC2-0005642
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: