Individual
BRIAN A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4161
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017-00637
NC
390200000X
Student in an Organized Health Care Education/Training Program
OT014839
PA
Other
Enumeration date
06/01/2012
Last updated
05/04/2017
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