| Anthony J Bollino,jr., M.d., Pa | |
|
922 National Hwy Lavale MD 21502-7325 | |
| (301) 729-6531 | |
| (301) 729-6897 |
| Full Name | Anthony J Bollino,jr., M.d., Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 922 National Hwy, Lavale, Maryland |
| Authorized Official Name and Position | Anthony J Bollino (PRESIDENT) |
| Authorized Official Contact | 3017296531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony J Bollino,jr., M.d., Pa 922 National Hwy Lavale MD 21502-7325 Ph: (301) 729-6531 | Anthony J Bollino,jr., M.d., Pa 922 National Hwy Lavale MD 21502-7325 Ph: (301) 729-6531 |
| NPI Number | 1598075293 |
|---|---|
| Provider Enumeration Date | 10/15/2010 |
| Last Update Date | 10/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598075293 | NPI | - | NPPES |
| 220391000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gonzaga Pediatrics And Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 957 National Hwy, Lavale, MD 21502 Phone: 301-729-9475 Fax: 301-729-9474 | |
Connie Morris, Crnp, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13106 Winchester Rd Sw Ste 100, Lavale, MD 21502 Phone: 240-362-7249 Fax: 240-362-7285 | |
Upmc Western Maryland Health Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 National Hwy Ste 680, Lavale, MD 21502 Phone: 240-362-0288 |