| Doctor Name: | GERARD A COLLINS |
| NPI Number: | 1174726236 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 25MD00289900 |
| Business Practice Address: | 19 W Main St Maple Shade, NJ - 080522411 |
| Business Phone Number: | 8567797386 |
| Business Fax Number: | 8567797563 |
| Mailing Address: | 7000 Atrium Way, Suite 6 MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080543917 |
| Phone Number: | 8562916818 |
| Fax Number: | 8562916819 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 25MD00289900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |