Provider Demographics
NPI:1972153146
Name:COLZANI-COHEN-DEUTSCH, JOANA ELEANOR (MD, MBA)
Entity Type:Individual
Prefix:
First Name:JOANA
Middle Name:ELEANOR
Last Name:COLZANI-COHEN-DEUTSCH
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:JOANA
Other - Middle Name:ELEANOR
Other - Last Name:COLZANI COHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:201 VIRGINIA RD
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-9668
Mailing Address - Country:US
Mailing Address - Phone:252-482-2116
Mailing Address - Fax:252-482-4874
Practice Address - Street 1:201 VIRGINIA RD
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-9668
Practice Address - Country:US
Practice Address - Phone:252-482-2116
Practice Address - Fax:252-482-4874
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-02374207Q00000X
ARE-14783207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine