Provider Demographics
NPI:1033178348
Name:KOBYLINSKI, MARIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:S
Last Name:KOBYLINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-3034
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:201 16TH ST
Practice Address - Street 2:
Practice Address - City:SELINSGROVE
Practice Address - State:PA
Practice Address - Zip Code:17870-9329
Practice Address - Country:US
Practice Address - Phone:570-374-0151
Practice Address - Fax:570-374-0311
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD417542207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001861873Medicaid
PA051467Medicare ID - Type Unspecified