Provider Demographics
NPI:1346051653
Name:COLON, BRYAN (RMA)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:
Last Name:COLON
Suffix:
Gender:M
Credentials:RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 EDNSON CT
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-2015
Mailing Address - Country:US
Mailing Address - Phone:413-418-8090
Mailing Address - Fax:
Practice Address - Street 1:54 EDNSON CT
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-2015
Practice Address - Country:US
Practice Address - Phone:413-418-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula