Individual
DR. EDWARD JOHN COLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1396 PICCARD DR, KAISER PERMANENTE SHADY GROVE MEDICAL CENTER, ROCKVILLE, MD 20850-4302
(301) 548-5700
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
D76446
MD
2080P0006X
Developmental - Behavioral Pediatrics Physician
MD041142E
PA
Other
Enumeration date
05/18/2006
Last updated
09/16/2013
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