Individual
MR. GEORGE BERNARD BOLINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 SIR THOMAS CT STE 200, HARRISBURG, PA 17109-4839
(717) 724-0720
(717) 724-0730
Mailing address
815 SIR THOMAS CT STE 200, HARRISBURG, PA 17109-4839
(717) 724-0720
(717) 724-0730
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD-044400-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032701
CAPITAL BLUE CROSS
PA
01
—
4319250
AETNA
—
Enumeration date
07/29/2005
Last updated
07/19/2021
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