Individual
DR. SIOBHAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
499 FARMINGTON AVE, SUITE 230, FARMINGTON, CT 06032-1943
(860) 676-1900
(860) 409-0602
Mailing address
499 FARMINGTON AVE, SUITE 230, FARMINGTON, CT 06032-1943
(860) 676-1900
(860) 409-0602
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
040694
CT
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
040694
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010040694CT05
ANTHEM BCBS
CT
01
—
040694
CONNECTICARE
CT
01
—
1047826
CIGNA
CT
01
—
2458330
UNITED HEALTHCARE
CT
01
—
7434428
AETNA
CT
01
—
P4433843
OXFORD
CT
Enumeration date
09/07/2006
Last updated
03/06/2012
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