Provider Demographics
NPI:1487657086
Name:COLL, MILTON E (MD)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:E
Last Name:COLL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:240 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1832
Mailing Address - Country:US
Mailing Address - Phone:267-560-1001
Mailing Address - Fax:215-741-1231
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:STE 305
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-632-8882
Practice Address - Fax:215-632-2232
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2012-11-28
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Provider Licenses
StateLicense IDTaxonomies
PAMD028587E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC29603Medicare UPIN
PA091578Medicare ID - Type Unspecified