Individual
ANDREA M BOLESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 ARRANDALE BLVD, EXTON, PA 19341-2503
(610) 363-2532
Mailing address
1296 GROVE RD, WEST CHESTER, PA 19380-1062
(610) 585-0192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055091
PA
363AM0700X
Medical Physician Assistant
25MP00265400
NJ
Other
Enumeration date
08/30/2011
Last updated
01/05/2023
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