| NPI | 1164785630 |
|---|---|
| Doing Business As | COLONIAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GOLDFARB President 412-578-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |