Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD047520L | PA |
N | 2081P2900X | Pain Medicine | MD047520L | PA |
NPI | 1326015207 |
---|---|
Provider Name | Dr. William A Rolle JR. |
First Address | Camp Hill, PA 17011-4407 |
Second Address | Camp Hill, PA 17011-4407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 02/12/2021 |