Individual provider · Type 1 NPI
Jesse Todd Colabine, PA-C
Medical Physician Assistant · Beavertown, PA
NPI number
1356693220
Active
Practice location
5176 Creek Rd
Beavertown, PA 17813-9268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA053457 (PA) |
Medical Physician Assistant: Definition to come...
About NPI 1356693220
Jesse Todd Colabine, PA-C's National Provider Identifier is 1356693220, issued on Oct 3, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beavertown, PA. The record was last updated on Oct 3, 2012.