Maccollin, Mia M
Maccollin, Mia M is an individual health care provider with primary practice located at 149 13Th St 6Th Floor Cyn 149 6, Charlestown MA 02129-2020. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Maccollin, Mia M can be contacted via phone (617) 726-7856.Contact Information
Primary practice address
149 13Th St 6Th Floor Cyn 149 6
Charlestown MA 02129-2020
Phone: (617) 726-7856
Fax: (617) 724-9620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 73495 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 73495 | Massachusetts |
Profile Details
| NPI number | 1437149093 |
|---|---|
| LBN Legal business name | Maccollin, Mia M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437149093 | NPPES |
| Massachusetts | Other | 727826 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J30964 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3131360 | TUFTS HEALTH PLAN |
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