Coller, John A

Coller, John A is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd., Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Coller, John A can be contacted via phone (781) 744-5100.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd. Burlington MA 01805-0001
Phone: (781) 744-5100
Fax: (781) 744-2945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 34463 Massachusetts

Profile Details

NPI number 1316000748
LBN Legal business name Coller, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jan 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316000748 NPPES
Massachusetts MEDICAID 6167004

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