Provider Demographics
NPI:1588697452
Name:COLLINS, ALLEN H (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:H
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:143 STONEGATE TRAIL
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626
Mailing Address - Country:US
Mailing Address - Phone:201-960-9975
Mailing Address - Fax:201-816-0095
Practice Address - Street 1:143 STONEGATE TRAIL
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626
Practice Address - Country:US
Practice Address - Phone:201-960-9975
Practice Address - Fax:201-816-0095
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY103657-12084P0800X
NJ25MA023885002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC11403Medicare UPIN