Provider Demographics
NPI:1053340786
Name:COLLADO, MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:COLLADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 ROUTE 88
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3229
Mailing Address - Country:US
Mailing Address - Phone:732-899-0008
Mailing Address - Fax:732-899-0447
Practice Address - Street 1:2211 ROUTE 88
Practice Address - Street 2:SUITE 2A
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3229
Practice Address - Country:US
Practice Address - Phone:732-899-0008
Practice Address - Fax:732-899-0447
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA070911208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics