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:
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Health care specialties

SpecialtyCodeLicense #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 13th, 2026 - about 3 months 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.

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Identifiers

StateTypeNumberIssuer
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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