NPI 1053396341

John W Colberg, MD

Practitioner Urology Physician New Haven, CT

Practice location

Address: 800 Howard Ave Yale Physicians Building 3rd Floor, New Haven, CT 06519-1369
Phone: (203) 785-2815
Fax: (203) 785-4043
Mailing address: PO Box 9805 300 George St 6th Floor, New Haven, CT 06536-0805

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 036647 (CT)

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Registry record

NPI: 1053396341
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2005
Record last updated: 25 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.