Provider Demographics
NPI:1568475382
Name:WOLINSKY, JOEL M (OD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:M
Last Name:WOLINSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:319 2ND STREET PIKE
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3812
Mailing Address - Country:US
Mailing Address - Phone:215-355-4428
Mailing Address - Fax:215-355-0790
Practice Address - Street 1:319 2ND STREET PIKE
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3812
Practice Address - Country:US
Practice Address - Phone:215-355-4428
Practice Address - Fax:215-355-0790
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000966152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30524Medicare UPIN
PA454581Medicare ID - Type Unspecified