Individual
DR. MARY M COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 UNION ST, SUITE 2300, ELLSWORTH, ME 04605-1586
(207) 664-5642
(207) 664-5664
Mailing address
50 UNION ST, SUITE 2300, ELLSWORTH, ME 04605-1586
(207) 664-5642
(207) 664-5664
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
013419
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218350099
—
ME
Enumeration date
05/16/2006
Last updated
03/18/2020
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