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Individual
DANIEL WOLFE COLLISON
Active
Individual
DANIEL WOLFE COLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
8614
NH
207ND0101X
MOHS-Micrographic Surgery Physician
8614
NH
207NS0135X
Procedural Dermatology Physician
8614
NH
208D00000X
General Practice Physician
Primary
8614
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002051
—
VT
01
—
008614
TUFTS
—
01
—
0106540Y0NH01
ANTHEM PROVIDER #
—
01
—
070011185
RAILROAD MEDICARE
—
01
—
07502
MVP
—
01
—
20234
MATTHEW THORNTON HP
—
01
—
3083123
AETNA HMO PROVIDER ID
—
01
—
4248210
AETNA PROVIDER ID
—
01
—
7323862
CIGNA NATIONAL PROVIDER
—
05
—
80002051
—
NH
01
—
E52148
HARVARD PILGRIM
—
01
—
P378192
OXFORD
—
Enumeration date
02/11/2006
Last updated
10/14/2019
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