Individual provider · Type 1 NPI

Sophia Collins

Surgical Physician Assistant · New London, CT

NPI number 1720711005 Active

Practice location

365 Montauk Ave
New London, CT 06320-4769

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X6172 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1720711005

Sophia Collins's National Provider Identifier is 1720711005, issued on Jul 5, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New London, CT. The record was last updated on May 28, 2024.