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Individual
PETER J COLLERAN
Active
Individual
PETER J COLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5831
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110118384A
—
MA
Enumeration date
06/21/2016
Last updated
11/21/2022
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