Provider Demographics
NPI:1831233238
Name:COLODONATO, JULIE A (MD)
Entity type:Individual
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First Name:JULIE
Middle Name:A
Last Name:COLODONATO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:7600 OSLER DR
Mailing Address - Street 2:SUITE 411
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7735
Mailing Address - Country:US
Mailing Address - Phone:410-427-2241
Mailing Address - Fax:410-296-1480
Practice Address - Street 1:5 PARK CENTER CT
Practice Address - Street 2:SUITE 201
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4201
Practice Address - Country:US
Practice Address - Phone:410-363-4900
Practice Address - Fax:410-363-9426
Is Sole Proprietor?:No
Enumeration Date:2007-02-18
Last Update Date:2016-12-08
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Provider Licenses
StateLicense IDTaxonomies
MDD0065548207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
384PQ794Medicare PIN