Provider Demographics
NPI:1023181195
Name:COLABELLA, FRANK E (DPM, MS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:COLABELLA
Suffix:
Gender:M
Credentials:DPM, MS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:57 TAURUS DR UNIT 4A
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-5071
Mailing Address - Country:US
Mailing Address - Phone:908-285-3217
Mailing Address - Fax:908-281-9209
Practice Address - Street 1:23-00 ROUTE 208 STE 2-6
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1558
Practice Address - Country:US
Practice Address - Phone:201-773-0909
Practice Address - Fax:908-281-9209
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005052213E00000X
NJMD002165213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6177204Medicaid
NJU18423Medicare UPIN
NJ769549Medicare ID - Type Unspecified