Anthony J Bollino,Jr., M.D., PA
Organization Active NPI Family Medicine Physician · Lavale, MD
NPI 1598075293 · NPPES record last updated Oct 15, 2010
Key facts
- NPI
- 1598075293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ANTHONY J BOLLINO,JR., M.D., PA
- Practice address
- 922 National Hwy
Lavale, MD 21502-7325 - Phone
- (301) 729-6531
- Fax
- (301) 729-6897
- NPI assigned
- Oct 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Anthony J Bollino Jr., M.D.,PA
- Title
- President
- Phone
- (301) 729-6531
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
922 National Hwy
Lavale, MD 21502-7325
Mailing address
922 National Hwy
Lavale, MD 21502-7325
Phone (301) 729-6531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220391000 | Medicaid | MD |
Other providers in Lavale, MD
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- Darcy M Allen
- Nicole Ann Andrews
- Around the Back Family Chiropractic
- Ats of Cecil County, Inc.
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- Lauren Elise Bailey
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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 Oct 15, 2010. 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.