Provider Demographics
NPI:1700814621
Name:DOLANSKY, ROBERT S (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:DOLANSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:801 OSTRUM STREET
Mailing Address - Street 2:CENTRAL VERIFICATION OFFICE
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:484-526-8046
Mailing Address - Fax:833-213-6428
Practice Address - Street 1:1501 LEHIGH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3880
Practice Address - Country:US
Practice Address - Phone:610-628-8380
Practice Address - Fax:610-770-8776
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2018-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009275L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017155430001Medicaid
PAG84746Medicare UPIN
PA0017155430001Medicaid