Provider Demographics
NPI:1366698474
Name:COLLINS, JULIE M (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:500 GROVE STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035
Mailing Address - Country:US
Mailing Address - Phone:856-796-9200
Mailing Address - Fax:856-796-9397
Practice Address - Street 1:120 WHITE HORSE PIKE
Practice Address - Street 2:SUITE 103
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035
Practice Address - Country:US
Practice Address - Phone:856-795-7505
Practice Address - Fax:856-795-8010
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2013-09-03
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09166800207RI0200X
PAMD436697207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease