NPI 1316209141 · live from the CMS NPI Registry
Jenna Koliani-Pace, M.D.
Internal Medicine, Gastroenterology in Glastonbury, CT. National Provider Identifier 1316209141, active.
NPI record
| NPI | 1316209141 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 300 Western Blvd Ste A, Glastonbury, CT 06033 |
| Practice phone | 860-657-1920 |
| Mailing address | 1 Medical Center Dr, Dhmc Department Of Gastroenterology, Lebanon, NH 03756 |
| Enumerated | June 7, 2012 |
| Last updated | August 1, 2019 |
| Sole proprietor | No |
| Other names | Jenna Koliani |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | 18675 (NH) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 63719 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.