Organization
COLLINS MEDICAL ASSOCIATES 2 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECAHARA BARRAK MD (CEO- PRESIDENT)
(860) 714-5415
Entity
Organization
Contact information
Practice address
1000 ASYLUM AVE STE 3218, HARTFORD, CT 06105-1702
(860) 714-5415
(860) 714-8861
Mailing address
673 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3033
(860) 242-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
018911
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001319880
—
CT
Enumeration date
03/31/2011
Last updated
03/17/2018
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