Sean Thomas Collins NP

NPI 1740395185 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1740395185
Gender Male
Enumeration Date 08/19/2006
Last Updated 11/02/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
55 LAKE AVE N
WORCESTER MA, 01655-0002, US
Phone (508) 334-3206
Fax
Business Location
PO BOX 415348
BOSTON MA, 02241-5348, US
Phone
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Massachusetts
License Number 178632
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According to our database, Sean Thomas Collins NP NPI is 1740395185, taxonomy code is 363L00000X and license number is 178632, license state is located at Massachusetts. Sean Thomas Collins NP physically located at 55 Lake Ave N, Worcester MA, 01655-0002. NPI Number Sean Thomas Collins NP has the Individual type.

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1740395185 NPI number is provided on an as is basis without warranty of any kind. 1740395185 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Thomas Collins NP are for informational purposes only.