Joseph P. Chollak, Jr., M.d.

NPI #1407056732 in Forty Fort, Pennsylvania

Provider Information

NPI Number: 1407056732
Entity Type: Organization
Organization Name: Joseph P. Chollak, Jr., M.d.
Primary Specialty: Family Medicine
Enumeration Date: Jul 24, 2007
Last Updated: Nov 27, 2007

Practice Location

Address: 950 WYOMING AVE
City: Forty Fort
State: Pennsylvania
ZIP Code: 18704-3966
Phone: (570) 287-7704

Authorized Official

Name: MRS. SHELLY MARANSKY
Title: ADMIN ASSISTANT
Phone: (570) 287-7707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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