Individual
DR. BARRY S COLLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
478 TORREY ST, BROCKTON, MA 02301-4696
(508) 583-3110
Mailing address
478 TORREY ST, BROCKTON, MA 02301-4696
(508) 583-3110
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1489
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0336475
—
MA
01
—
33027
HARVARD PILGRIM
MA
01
—
Y70647
BLUE CROSS
MA
Enumeration date
11/13/2006
Last updated
07/08/2007
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