Provider Demographics
NPI:1538328240
Name:COLAK, ERROL (MD)
Entity Type:Individual
Prefix:
First Name:ERROL
Middle Name:
Last Name:COLAK
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 1:102 NEILSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:ETOBICOKE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M9C1V7
Mailing Address - Country:CA
Mailing Address - Phone:416-880-4969
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DEPT OF R
Practice Address - Street 2:DIVISION OF ABDOMINAL IMAGING AND INTERVENTION
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-6304
Practice Address - Fax:617-732-6317
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235624390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program