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NPI Code Detail

MEDICARE: DR. WINSTON COLLINS DSW

MEDICARE:  DR. WINSTON  COLLINS  DSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerCW-001551-LPA

General Provider Information

NPI Number : 1013004001
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WINSTON COLLINS DSW
Provider Business Mailing Address
First Line : 1758 HOLLINS RD
Second Line :
City : BENSALEM
State : PA
Zip : 19020-4613
Country : US
Telephone Number : 215-638-7363
Fax Number : 215-638-7363
Provider Business Practice Location Address
First Line : 444 N 3RD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-4107
Country : US
Telephone Number : 215-487-6374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WINSTON COLLINS DSW” Practice Location

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