Doctor Name: | GERALD COLLINS |
NPI Number: | 1689724957 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 7981 |
Business Practice Address: | 12 Ballard St Durham, NH - 038242308 |
Business Phone Number: | 6038621530 |
Business Fax Number: | 6038624259 |
Mailing Address: | 525 Maplewood Ave, PORTSMOUTH |
State: | NH |
Postal Code: | 038013576 |
Phone Number: | 6034317690 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 7981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |