Anthony Joseph Bollino Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Lavale, MD
NPI 1528060928 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1528060928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0017565 (MD)
- Practice address
- 922 National Hwy
Lavale, MD 21502-7325 - Phone
- (301) 729-6877
- Fax
- (301) 729-6897
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0017565 | MD | Yes |
Addresses
Primary practice location
922 National Hwy
Lavale, MD 21502-7325
Mailing address
922 National Hwy
Lavale, MD 21502-7325
Phone (301) 729-6877
Other providers in Lavale, MD
- Robert J Bechter
- Matthew J Beeman
- Shannon Gabrielle Bennett
- Janice Irene Blough-Labuda
- David Allen Bohn
- Eliette Yadira Bouie
- Larry Bowling
- Brittany M Bradley
- Suzanne Brandenburg
- Felicia Brant
All providers in Lavale, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.