Individual
MICHAEL EUGENE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, OFFICE OF EMERGENCY MEDICINE, BOSTON, MA 02118-2908
(617) 414-5481
(617) 414-7759
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
252887
MA
Other
Enumeration date
09/03/2008
Last updated
04/28/2014
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