Organization
DR. ROGER P. COLLINS PROF ASSN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER PAUL COLLINS OD (PRESIDENT)
(603) 669-0447
Entity
Organization
Contact information
Practice address
395 S MAIN ST, MANCHESTER, NH 03102-4841
(603) 669-0447
(603) 669-0850
Mailing address
395 S MAIN ST, MANCHESTER, NH 03102-4841
(603) 669-0447
(603) 669-0850
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
237
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80587760
—
NH
Enumeration date
10/15/2007
Last updated
10/15/2007
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