Individual
MARK COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 OSTERVILLE - WEST BARNSTABLE RD, OSTERVILLE, MA 02655
(508) 428-2620
(508) 428-6720
Mailing address
PO BOX 905, FALMOUTH, MA 02541
(508) 548-8989
(508) 548-5789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
150315
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3151506
—
MA
01
—
65441
HARVARD PILGRIM
MA
01
—
764075
TUFTS HEALTH
MA
Enumeration date
06/26/2006
Last updated
07/08/2007
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