Individual
DR. SERGE N KOLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 BENT CREEK BLVD, SUITE 202, MECHANICSBURG, PA 17050-1871
(717) 458-8401
(717) 458-8403
Mailing address
1300 BENT CREEK BLVD, SUITE 202, MECHANICSBURG, PA 17050-1871
(717) 458-8401
(717) 458-8403
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD064859Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016961160002
—
PA
01
—
354924
HIGHMARK BLUE SHIELD
—
01
—
50000718
CAPITAL BLUE CROSS
—
Enumeration date
12/13/2005
Last updated
09/11/2008
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