MEDICARE: DR. BRYAN R. HOLLINGER M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD-050418-L	PA
2	207R00000X	Internal Medicine Physician	MD-050418-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033160833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRYAN R. HOLLINGER M.D., M.P.H.

Provider Business Mailing Address
First Line	:	4417 N 6TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-2319
Country	:	US
Telephone Number	:	215-302-3600
Fax Number	:	215-807-8951

Provider Business Practice Location Address
First Line	:	4417 N 6TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140
Country	:	US
Telephone Number	:	215-302-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	10/08/2019

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