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NPI Code Detail

MEDICARE: CHRISTOPHER J COLOSIMO D.O.

MEDICARE: CHRISTOPHER J COLOSIMO D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS012365PA
2208M00000XHospitalist PhysicianOS012365PA

General Provider Information

NPI Number : 1376546952
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER J COLOSIMO D.O.
Provider Business Mailing Address
First Line : 100 FAIRFIELD DR
Second Line :
City : SENECA
State : PA
Zip : 16346-2130
Country : US
Telephone Number : 814-676-7863
Fax Number : 814-676-7975
Provider Business Practice Location Address
First Line : 100 FAIRFIELD DR
Second Line :
City : SENECA
State : PA
Zip : 16346-2130
Country : US
Telephone Number : 814-676-7863
Fax Number : 814-676-7975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 04/21/2020

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Directions to “ CHRISTOPHER J COLOSIMO D.O.” Practice Location

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