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Dr. Mia M Maccollin, MD
Neurology with Special Qualifications in Child Neurology Physician in Charlestown, Massachusetts
NPI 1437149093

Mia M Maccollin is a Neurology with Special Qualifications in Child Neurology Physician based in Charlestown, MA and is specialized in Neurology with Special Qualifications in Child Neurology. Mia M Maccollin practices in Charlestown, MA and has the professional credentials of MD. The NPI Number for Mia M Maccollin is 1437149093 and holds a License No. 73495 (Massachusetts).

The current practice location address for Mia M Maccollin is 149 13Th St, Charlestown, MA and can be reached out via phone at 617-726-7856 and via fax at 617-724-9620.

Location: 149 13Th St, Charlestown, MA, 02129-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437149093
Provider Name
Mia M Maccollin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
149 13Th St, Charlestown, MA, 02129-9142
Phone Number
617-726-7856
Fax Number
617-724-9620
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
727826 01 MA TUFTS HEALTH PLAN
J30964 01 MA BCBS MA
3131360 05 MA
institution
Provider Business Practice Location Address Details
Address
149 13Th St
City
Charlestown
State
Massachusetts
Zip
02129-2020
Phone Number
617-726-7856
Fax Number
617-724-9620
person
Provider Business Mailing Address Details
Address
149 13Th St
City
Charlestown
State
Massachusetts
Zip
02129-2020
Phone Number
617-726-7856
Fax Number
617-724-9620
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
73495 (Massachusetts)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
73495 (Massachusetts)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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