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NPI Code Detail

MEDICARE: MICHAEL JOHN COLLI M.D.

MEDICARE: MICHAEL JOHN COLLI M.D.
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
1208000000XPediatrics PhysicianMD073663LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386641116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOHN COLLI M.D.
Provider Business Mailing Address
First Line : 111 CHAMBERS HILL DR
Second Line : STE 200
City : CHAMBERSBURG
State : PA
Zip : 17201-7304
Country : US
Telephone Number : 717-709-7922
Fax Number : 717-263-2055
Provider Business Practice Location Address
First Line : 830 5TH AVE
Second Line : SUITE 103
City : CHAMBERSBURG
State : PA
Zip : 17201-4219
Country : US
Telephone Number : 717-263-0550
Fax Number : 717-263-8898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 06/11/2025

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Directions to “ MICHAEL JOHN COLLI M.D.” Practice Location

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