Individual
COLIN P MCCAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SCIENCE PARK RD, SUITE 207, STATE COLLEGE, PA 16803-2293
(814) 272-5805
(814) 272-0110
Mailing address
301 SCIENCE PARK RD, SUITE 207, STATE COLLEGE, PA 16803-2293
(814) 272-5805
(814) 272-0110
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD428049
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097686
MEDICARE LEGACY GROUP#
PA
05
—
1016152280001
—
PA
01
—
1873055
HIGHMARK#
PA
01
—
50062055
CAPITAL BCBS#
PA
01
—
CI7521
RAILROAD MEDICARE GRP#
PA
01
—
P00409316
RAILROAD MEDICARE INDIV#
PA
Enumeration date
01/18/2006
Last updated
03/02/2020
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