Provider Demographics
NPI:1356323661
Name:COLLIER, DEBORAH S (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:S
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-7938
Mailing Address - Fax:617-643-1274
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:YAW 2100 RHEUMATOLOGY ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-7938
Practice Address - Fax:617-643-1274
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2012-07-18
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Provider Licenses
StateLicense IDTaxonomies
MA215110207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0189464Medicaid
MA468684OtherTUFTS HEALTH PLAN
MAJ25692OtherBCBS MA
MA468684OtherTUFTS HEALTH PLAN
A34895Medicare ID - Type Unspecified