Individual
ROBERT GERALD COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
1324 LOCUST ST APT 1603, PHILADELPHIA, PA 19107-5706
(352) 206-8959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN669185
PA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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