Provider Demographics
NPI:1851582274
Name:WARHOLIC, HOLLI M (DO)
Entity Type:Individual
Prefix:DR
First Name:HOLLI
Middle Name:M
Last Name:WARHOLIC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1700 RIVERSIDE CIR
Mailing Address - Street 2:SUITE 403
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5670
Mailing Address - Country:US
Mailing Address - Phone:484-503-0628
Mailing Address - Fax:484-503-0631
Practice Address - Street 1:1700 RIVERSIDE CIR
Practice Address - Street 2:SUITE 403
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5670
Practice Address - Country:US
Practice Address - Phone:484-503-0628
Practice Address - Fax:484-503-0631
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2013-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013941207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102398087Medicaid
PA102398087Medicaid