Provider Demographics
NPI:1689721599
Name:JOSEPH A. COLAO, D.O.
Entity Type:Organization
Organization Name:JOSEPH A. COLAO, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:COLAO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-333-3088
Mailing Address - Street 1:2520 KENNEDY BOULEVARD
Mailing Address - Street 2:GROUND FLOOR - SOUTH SIDE
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2054
Mailing Address - Country:US
Mailing Address - Phone:201-333-3088
Mailing Address - Fax:201-333-7616
Practice Address - Street 1:2520 KENNEDY BOULEVARD
Practice Address - Street 2:GROUND FLOOR - SOUTH SIDE
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2054
Practice Address - Country:US
Practice Address - Phone:201-333-3088
Practice Address - Fax:201-333-7616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty