Provider Demographics
NPI:1487642328
Name:KOLLMAR, LINDA GROSSMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:GROSSMAN
Last Name:KOLLMAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2501 OREGON PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4890
Mailing Address - Country:US
Mailing Address - Phone:717-293-3223
Mailing Address - Fax:717-390-2455
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-2000
Practice Address - Fax:215-376-1705
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-07-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD061932L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H20160Medicare UPIN
PA038791GBVMedicare PIN