Collins, Gerard A

Collins, Gerard A is an individual health care provider with primary practice located at 19 W Main St , Maple Shade NJ 08052-2411. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Collins, Gerard A can be contacted via phone (856) 779-7386.

Contact Information

Primary practice address
19 W Main St Maple Shade NJ 08052-2411
Fax: (856) 779-7563
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00289900 New Jersey

Profile Details

NPI number 1174726236
LBN Legal business name Collins, Gerard A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Oct 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174726236 NPPES
New Jersey MEDICAID 0222127

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