Provider Demographics
NPI:1568636751
Name:PETER G COLLORI MD INC
Entity Type:Organization
Organization Name:PETER G COLLORI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:G
Authorized Official - Last Name:COLLORI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-394-2800
Mailing Address - Street 1:6600 KALANIANAOLE HWY STE 225
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1281
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6600 KALANIANAOLE HWY STE 225
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1281
Practice Address - Country:US
Practice Address - Phone:808-394-2800
Practice Address - Fax:808-394-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty