Individual
DR. KASSIE JEAN BOLLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3701 MARKET ST, PHILADELPHIA, PA 19104-5502
(215) 301-6861
Mailing address
3701 MARKET ST, PHILADELPHIA, PA 19104-5502
(215) 301-6861
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2016017329
MO
207VE0102X
Reproductive Endocrinology Physician
MT221504
PA
Other
Enumeration date
05/31/2016
Last updated
07/03/2020
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