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Contact Information

RICHARD D COLAVITA, MD
285 DAVIDSON AVE
SUITE 204
SOMERSET, NJ08873-4153
 Phone: 732-271-1400
 Fax: 732-271-3543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for RICHARD D COLAVITA · (Male)

NPI # 1730144627
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2006
Last updated 03/12/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA05122000
  • NJ License # MA51220
  • NJ Medicaid 4543631
  • NJ Other 1788205M1J MEDICARE PTAN
Hospital affiliation(s)
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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