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Individual

GABRIELLE COLLERAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-5724
(617) 355-6936
(617) 730-0549
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-5724
(617) 355-6936
(617) 730-0549

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
259041
MA
2085R0202X
Diagnostic Radiology Physician
259041
MA

Other

Enumeration date
07/18/2014
Last updated
07/18/2014
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