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Organization

ANDREW R BOLMANN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW R BOLMANN MD (OWNER)
(610) 323-6077
Entity
Organization

Contact information

Practice address
2195 E HIGH ST, POTTSTOWN, PA 19464-3235
(610) 323-6077
(610) 323-2760
Mailing address
2195 E HIGH ST, POTTSTOWN, PA 19464-3235
(610) 323-6077
(610) 323-2760

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD011574E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326035692
NPI #
PA
01
BO988528
BLUE SHIELD
PA
Enumeration date
05/30/2007
Last updated
01/04/2010
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