Organization
ANTHONY J BOLLINO,JR., M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J BOLLINO JR. M.D.,PA (PRESIDENT)
(301) 729-6531
Entity
Organization
Contact information
Practice address
922 NATIONAL HWY, LAVALE, MD 21502-7325
(301) 729-6531
(301) 729-6897
Mailing address
922 NATIONAL HWY, LAVALE, MD 21502-7325
(301) 729-6531
(301) 729-6897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220391000
—
MD
Enumeration date
10/15/2010
Last updated
10/15/2010
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