Provider Demographics
NPI:1336382712
Name:COLLINS, MICHAEL TERRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:TERRENCE
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:30 CONVENT DR
Mailing Address - Street 2:BUILDING 30, ROOM 228, MSC 4320
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-4913
Mailing Address - Fax:301-402-0824
Practice Address - Street 1:30 CONVENT DR
Practice Address - Street 2:BUILDING 30, ROOM 228, MSC 4320
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-4913
Practice Address - Fax:301-402-0824
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0045237207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism