Healthcare Provider Details

I. General information

NPI: 1821476243
Provider Name (Legal Business Name): COLIN MACELROY VROOME JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2015
Last Update Date: 06/05/2020
Certification Date: 06/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HAND, MICROSURGERY, RECONSTRUCTIVE ORTHOPEDICS, LLP 300 STATE ST. SUITE 205
ERIE PA
16507
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER - PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-6386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMT208799
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: