Provider Demographics
NPI:1104874320
Name:COLLINS, DANIEL FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:FRANCIS
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 TIOGUE AVE.
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-6167
Mailing Address - Country:US
Mailing Address - Phone:401-821-6800
Mailing Address - Fax:401-320-1198
Practice Address - Street 1:982 TIOGUE AVE.
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-6167
Practice Address - Country:US
Practice Address - Phone:401-821-6800
Practice Address - Fax:401-320-1198
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD04612207Q00000X
RI4612207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI002370OtherBLUE CHIP
RI7001138Medicaid
RI208419723OtherUNITED HEALTH
RI31337-1OtherBLUE CROSS COMMERCIAL
RI1043431018OtherDMERC
RI7001138Medicaid
RI1043431018OtherDMERC