Individual
DR. JOSEPH P CHOLLAK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 PIERCE ST, KINGSTON, PA 18704-5716
(570) 283-2161
(570) 714-0670
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD011939E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008576980004
—
PA
Enumeration date
03/02/2006
Last updated
08/10/2020
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