NPI | 1942209077 |
---|---|
Former Legal Business Name | WILLIAM COLANTONI JR MD PC |
Entity Type | Organization |
Authorized Contact | WILLIAM COLANTONI President/Dermatologist 563-386-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IA 20388) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036-054040) |
207N00000X Dermatology (Licence: NE 12808) | |
207N00000X Dermatology (Licence: CA G833882) | |
Enumeration Date | 2005-07-20 |
Last Update Date | 2008-05-12 |