Individual
DR. COLLEEN A MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 971-2100
Mailing address
107 MARIVISTA AVE, WALTHAM, MA 02451-3062
(781) 899-2956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205295
MA
208000000X
Pediatrics Physician
205295
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178641
—
MA
Enumeration date
07/31/2006
Last updated
06/19/2013
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