Healthcare Provider Details

I. General information

NPI: 1457382715
Provider Name (Legal Business Name): WENDY J. COLLINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68A MAIN ST STE 101
MEDWAY MA
02053-1775
US

IV. Provider business mailing address

9 INDUSTRIAL RD STE 5
MILFORD MA
01757-3736
US

V. Phone/Fax

Practice location:
  • Phone: 508-533-6020
  • Fax: 508-533-6640
Mailing address:
  • Phone: 508-473-1480
  • Fax: 508-473-1210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number157060
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: