Individual
RICHARD A. KOLESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4905 W TILGHMAN ST, SUITE 250, ALLENTOWN, PA 18104-9130
(484) 866-9583
(610) 366-1147
Mailing address
4905 W TILGHMAN ST, SUITE 250, ALLENTOWN, PA 18104-9130
(484) 866-9583
(610) 366-1147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD043888L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000096218
THREE RIVERS
PA
05
—
0012399960006
—
PA
01
—
01239996
GATWAY
PA
01
—
0497837000
INDEP. BLUE CROSS
PA
01
—
0665367
KHP CENTRAL
PA
01
—
1042368
AMERIHEALTH MERCY
PA
01
—
665367
HIGHMARK
PA
Enumeration date
10/13/2005
Last updated
02/27/2014
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