Organization
COLLINS MEDICAL ASSOCIATES 2 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LINK (CHIEF FINANCIAL OFFICER-ADMINISTRAT)
(860) 714-7362
Entity
Organization
Contact information
Practice address
95 WOODLAND ST FL 1, HARTFORD, CT 06105-1230
(860) 714-7362
(860) 714-8140
Mailing address
95 WOODLAND ST FL 1, HARTFORD, CT 06105-1230
(860) 714-7362
(860) 714-8140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
052095
CT
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004191607
—
CT
05
—
004239043
—
CT
05
—
004266187
—
CT
01
—
50COLLIN2CT01
ANTHEM BLUE SHIELD
CT
Enumeration date
07/22/2006
Last updated
02/09/2016
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