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Individual

DR. BETH ANN COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2614 BOSTON POST RD, SUITE 16C, GUILFORD, CT 06437-1369
(203) 689-5295
(203) 689-5428
Mailing address
2614 BOSTON POST RD, SUITE 16C, GUILFORD, CT 06437-1369
(203) 689-5295
(203) 689-5428

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
047848
CT
208200000X
Plastic Surgery Physician
058158
GA
208600000X
Surgery Physician
047848
CT
208600000X
Surgery Physician
18970
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52223095
BC/BS GEORGIA
GA
Enumeration date
07/11/2006
Last updated
02/27/2012
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