Doctor Name: | SHARON A. BOLSAR |
NPI Number: | 1356304315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA003362L |
Business Practice Address: | 100 Community Dr Mountain Family Care. Suite 102 Tobyhanna, PA - 184668985 |
Business Phone Number: | 5708952300 |
Business Fax Number: | 5708954270 |
Mailing Address: | 206 E Brown St, Pocono Healthcare Mgmt. - Professional Bldg. EAST STROUDSBURG |
State: | PA |
Postal Code: | 183013006 |
Phone Number: | 5704204997 |
Fax Number: | 5704763754 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA003362L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |