Individual
MS. COLLEEN ANN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3030
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004460
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
06/13/2024
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