Provider Demographics
NPI:1679584841
Name:COLLIER, VIRGINIA UPCHURCH (MD)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:UPCHURCH
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CHRISTIANA HOSPITAL
Mailing Address - Street 2:4755 OGLETOWN STANTON ROAD
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-0002
Mailing Address - Country:US
Mailing Address - Phone:302-733-6343
Mailing Address - Fax:302-733-6378
Practice Address - Street 1:CHRISTIANA HOSPITAL
Practice Address - Street 2:4755 OGLETOWN STANTON ROAD
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0002
Practice Address - Country:US
Practice Address - Phone:302-733-6343
Practice Address - Fax:302-733-6378
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0003208207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B70899Medicare UPIN