Provider Demographics
NPI:1922443803
Name:JOSEPH S. SOLIMAN, MD PC
Entity Type:Organization
Organization Name:JOSEPH S. SOLIMAN, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-282-4661
Mailing Address - Street 1:92 SALEM AVE
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18407-2038
Mailing Address - Country:US
Mailing Address - Phone:570-282-4661
Mailing Address - Fax:570-282-7365
Practice Address - Street 1:92 SALEM AVE
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-2038
Practice Address - Country:US
Practice Address - Phone:570-282-4661
Practice Address - Fax:570-282-7365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047857L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0013935480004Medicaid
PA0013935480004Medicaid
PAF44248Medicare UPIN