Organization
HARRY COLLINS, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY COLLINS MD (OWNER)
(732) 287-2020
Entity
Organization
Contact information
Practice address
1 ETHEL RD, SUITE 107B, EDISON, NJ 08817-2838
(732) 287-2020
(732) 287-2071
Mailing address
1 ETHEL RD, SUITE 107B, EDISON, NJ 08817-2838
(732) 287-2020
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA32839
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922078377
NPI INDIVIDUAL NUMBER
—
05
—
2305402
—
NJ
Enumeration date
09/20/2006
Last updated
09/29/2011
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