Mia M Maccollin in Charlestown - Pediatrics

Mia M Maccollin - NPI 1437149093

Mia M Maccollin is a Pediatrics in Charlestown, Massachusetts. Mia M Maccollin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mia M Maccollin is 1437149093. The last update date is 2007-07-08.

Mia M Maccollin's current location address is 149 13th St, Charlestown, Massachusetts. You can contact this provider via phone number 6177267856 and fax number 6177249620. The mailing address for Mia M Maccollin is 149 13th St, Charlestown, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Mia M Maccollin
Address 149 13th St, Charlestown, Massachusetts
Phone Number 6177267856
Fax Number 6177249620
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1437149093
Provider Enumeration Date 2005-10-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 149 13th St
City Charlestown
State Massachusetts (MA)
Post Code 21292020
Phone Number 6177267856
Fax Number 6177249620

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 73495
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
727826 MA TUFTS HEALTH PLAN
J30964 MA BCBS MA
3131360 MA --

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FAQs about Mia M Maccollin

What is the unique 10-digit identification code assigned to Mia M Maccollin by the Centers for Medicare & Medicaid Services?

The Mia M Maccollin has been issued the NPI (National Provider Identifier) 1437149093, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mia M Maccollin?

The Mia M Maccollin is physically situated at 149 13Th St, in the city of Charlestown, state of MA, with the postal code 21292020.

What is Mia M Maccollin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mia M Maccollin is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date was the 1437149093 assigned to Mia M Maccollin?

The Mia M Maccollin was issued its 1437149093 on 2005-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Mia M Maccollin last refreshed?

The information related to the Mia M Maccollin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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