Josephine F Collaco MD LLC

NPI #1427316637 in Oregon, Ohio

Provider Information

NPI Number: 1427316637
Entity Type: Organization
Organization Name: Josephine F Collaco MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 25, 2012
Last Updated: Apr 25, 2012

Practice Location

Address: 1050 ISAAC STREETS DR
Address 2: SUITE 104
City: Oregon
State: Ohio
ZIP Code: 43616-3291
Phone: (419) 698-4642

Authorized Official

Name: MIKE POLO
Title: OPERATIONS MANAGER
Phone: (440) 234-8833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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