MEDICARE: RICHARD COLLINS JR.

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	207X00000X	Orthopaedic Surgery Physician	MD012160E	PA

General Provider Information

NPI Number	:	1992240584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD COLLINS JR.

Provider Business Mailing Address
First Line	:	179 WARWICK DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-2106
Country	:	US
Telephone Number	:	412-831-7580
Fax Number	:

Provider Business Practice Location Address
First Line	:	179 WARWICK DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-2106
Country	:	US
Telephone Number	:	412-831-7580
Fax Number	:

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

Provider Enumeration Date	:	01/05/2017
Last Update Date	:	01/05/2017

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