Organization Name: | BETH A COLLINS MD, P.C. |
NPI Number: | 1144451253 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH ANN COLLINS (PRESIDENT) |
Mailing Address: | 2614 Boston Post Rd Suite 16c Guilford |
State: | CT US |
Postal Code: | 064371369 |
Phone Number: | 2036895295 |
Fax Number: | 2036895428 |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 047848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |