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Individual

GREGORY C COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-7247
(609) 572-0000
(609) 572-0039
Mailing address
1 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1875
(609) 567-0200
(609) 567-1169

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05975100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6447503
NJ
Enumeration date
08/07/2006
Last updated
06/04/2020
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