Individual
DR. MARY LOUISE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6569 N CHARLES ST, SUITE 505, BALTIMORE, MD 21204-6831
(443) 849-2196
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D44743
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060771100
—
MD
01
—
07840
GBMC AMERIGROUP
MD
01
—
0801150
UHC AMERICHOICE
MD
01
—
13770
GBMC HOPKINS PRODUCTS
MD
01
—
1404697003
GBMC CIGNA
MD
01
—
233168
GBMC KAISER PERM
MD
01
—
420626
GBMC MAMSI OPHTHAL
MD
01
—
520626
GBMC MAMSI PED OPTHAL
MD
01
—
918786
GBMC MD EYE CARE
MD
01
—
KJ54GB-53363202
GBMC CAREFIRST MD
MD
01
—
S1410001
GBMC CAREFIRST REGIONAL
MD
Enumeration date
07/19/2006
Last updated
12/07/2011
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