Individual
MARK T. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
563 MAIN ST, BOLTON, MA 01740-1300
(978) 586-3939
(978) 586-3955
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
220849
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060256
—
MA
Enumeration date
06/01/2006
Last updated
01/28/2022
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