Individual
DR. PABLO DIAZ-COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PARKER HILL AVENUE, CONVERSE 4, SUITE 1, BOSTON, MA 02120-2847
(617) 754-5471
(617) 754-5740
Mailing address
125 PARKER HILL AVENUE, CONVERSE 4, SUITE 1, BOSTON, MA 02120-2847
(617) 754-5915
(617) 754-5916
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
275016
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275016
MASSACHUSETTS MEDICAL LICENSE NUMBER
MA
01
—
MD1145982A
MASSACHUSETTS CONTROLLED SUBSTANCES REGISTRATION
MA
Enumeration date
04/29/2012
Last updated
03/24/2025
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