Provider Demographics
NPI:1033252259
Name:COLMAN, JOHN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:COLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 POLLARD RD STE A2
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1432
Mailing Address - Country:US
Mailing Address - Phone:408-356-4959
Mailing Address - Fax:408-358-8692
Practice Address - Street 1:800 POLLARD RD STE A2
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1432
Practice Address - Country:US
Practice Address - Phone:408-356-4959
Practice Address - Fax:408-358-8692
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25540207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA942663629OtherTAX ID #
CA942663629OtherTAX ID #