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NPI 1912928169 · live from the CMS NPI Registry

Collins Medical Associates 2 PC

Internal Medicine in Hartford, CT. National Provider Identifier 1912928169, active.

NPI record

NPI1912928169 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location95 Woodland St Fl 1, Hartford, CT 06105
Practice phone860-714-7362
EnumeratedJuly 22, 2006
Last updatedFebruary 9, 2016
Authorized officialSusan Link, Chief Financial Officer-Administrat

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine207Q00000X—
Obstetrics & Gynecology207V00000X—
Orthopaedic Surgery207X00000X—
Orthopaedic Surgery, Sports Medicine207XX0005X—
Pediatrics208000000X—
Pediatrics, Adolescent Medicine2080A0000X—
Pediatrics, Neurodevelopmental Disabilities2080P0008X—
Physician Assistant363A00000X—
Nurse Practitioner363L00000X—
Nurse Practitioner, Family363LF0000X—
Nurse Practitioner, Obstetrics & Gynecology363LX0001X—
Physician Assistant, Surgical363AS0400X—
Nurse Practitioner, Pediatrics363LP0200X—
Internal Medicine, Cardiovascular Disease207RC0000X052095 (CT)
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.