Individual
T EDWARD COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
267 TUTTLE RD, CUMBERLAND, ME 04021-4117
(207) 712-4759
Mailing address
267 TUTTLE RD, CUMBERLAND, ME 04021-4117
(207) 712-4759
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1016
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060963
ANTHEM BLUE CROSS
ME
05
—
332890000
—
ME
01
—
4240865
AETNA
ME
01
—
P00096706
RAILROAD MEDICARE
ME
Enumeration date
09/27/2006
Last updated
01/03/2011
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