Individual
COLLINS P SEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3460 OLD WASHINGTON RD, SUITE 203A, WALDORF, MD 20602-3240
(301) 934-8811
(301) 934-9321
Mailing address
PO BOX 1558, WALDORF, MD 20604-1558
(301) 638-9670
(301) 638-7558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0046979
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110237779
RAILROAD MEDICARE
MD
01
—
293041
MAMSI, ALLIANCE
MD
05
—
431203100
—
MD
01
—
F2470001
BLUE CROSS
DC
01
—
KAF9SO
BLUE CROSS
MD
Enumeration date
09/07/2005
Last updated
04/05/2018
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