Individual
PHILLIP B COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 MASCOMA ST, LEBANON, NH 03766-2661
(603) 448-7459
(603) 448-7469
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
10496
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039897
BLUE CROSS BLUE SHIELD VT
VT
05
—
1008021
—
VT
01
—
1518946771
MVP
NH
05
—
30200260
—
NH
01
—
COLL251643
ANTHEM NH
NH
Enumeration date
01/16/2006
Last updated
05/05/2017
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