MEDICARE: JOCELYN BOLEWITZ

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	363A00000X	Physician Assistant	MA053997	PA

General Provider Information

NPI Number	:	1144587403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN BOLEWITZ

Provider Business Mailing Address
First Line	:	200 LOTHROP ST
Second Line	:	SUITE 9055 FORBES TOWER
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 SAINT FRANCIS WAY
Second Line	:	BUILDING 3 SUITE 210
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-5122
Country	:	US
Telephone Number	:	724-772-5400
Fax Number	:

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

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	05/24/2021

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