Organization
MARTIN J. COLLEN M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA J COLLEN (OFFICE ADMINISTRATOR)
(951) 271-2237
Entity
Organization
Contact information
Practice address
6647 HAWARDEN DR, RIVERSIDE, CA 92506-5111
(951) 203-1538
(951) 789-7610
Mailing address
7120 INDIANA AVE STE G, PMB 81, RIVERSIDE, CA 92504-4500
(951) 891-1483
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00G210320
CA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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