Individual
KATHRYN A COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
88 E NEWTON ST, C522, BOSTON, MA 02118-2658
(617) 638-8488
(617) 638-8469
Mailing address
88 E NEWTON ST, C522, BOSTON, MA 02118-2658
(617) 638-8488
(617) 638-8469
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
226163
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111811
—
MA
Enumeration date
03/31/2006
Last updated
07/08/2007
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