Individual
CODY PAUL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
789 E LANCASTER AVE, VILLANOVA, PA 19085-1522
(215) 503-9070
Mailing address
33 CENTRAL AVE, OCEAN CITY, NJ 08226-4327
(609) 675-4322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00775900
NJ
363AM0700X
Medical Physician Assistant
MA062214
PA
Other
Enumeration date
12/18/2020
Last updated
11/19/2025
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