Doctor Name: | MR. JOSEPH JOHN BOLINSKY |
NPI Number: | 1154399731 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | OA001001 |
Business Practice Address: | 1201a N Church St Suite 103 Hazle Township, PA - 182021471 |
Business Phone Number: | 5704558544 |
Business Fax Number: | |
Mailing Address: | 1201a N Church St, Suite 103 HAZLE TOWNSHIP |
State: | PA |
Postal Code: | 182021471 |
Phone Number: | 5704558544 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 12/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | OA001001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |