MEDICARE: MILTON E COLL MD

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
1	208800000X	Urology Physician	MD028587E	PA

General Provider Information

NPI Number	:	1487657086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILTON E COLL MD

Provider Business Mailing Address
First Line	:	240 MIDDLETOWN BLVD
Second Line	:	SUITE 107
City	:	LANGHORNE
State	:	PA
Zip	:	19047-1832
Country	:	US
Telephone Number	:	267-560-1001
Fax Number	:	215-741-1231

Provider Business Practice Location Address
First Line	:	3998 RED LION RD
Second Line	:	STE 305
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1436
Country	:	US
Telephone Number	:	215-632-8882
Fax Number	:	215-632-2232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	11/28/2012

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