Provider Demographics
NPI:1033961115
Name:COLOMBO, JOSEPH (DNM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:COLOMBO
Suffix:
Gender:M
Credentials:DNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HIGHSPIRE RD
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1911
Mailing Address - Country:US
Mailing Address - Phone:215-431-6213
Mailing Address - Fax:
Practice Address - Street 1:25 HIGHSPIRE RD
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1911
Practice Address - Country:US
Practice Address - Phone:215-431-6213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2177-2090175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath