Individual
COLLEEN P ERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0002
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
204288
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081386A
—
MA
Enumeration date
11/02/2007
Last updated
12/07/2010
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