Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | MD051180L | PA |
NPI | 1184603540 |
---|---|
Provider Name | Dr. Carol A Bilinski |
First Address | Schuylkill Haven, PA 17972-8642 |
Second Address | Schuylkill Haven, PA 17972-8642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 13/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F69672 | (02) | PA |