MEDICARE: DR. ISABELLE MARIA BOLLENDORF M.D.

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	2084P0800X	Psychiatry Physician	MD469088	PA

General Provider Information

NPI Number	:	1639529829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISABELLE MARIA BOLLENDORF M.D.

Provider Business Mailing Address
First Line	:	10063 GRANDVIEW AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1635
Country	:	US
Telephone Number	:	412-427-6412
Fax Number	:

Provider Business Practice Location Address
First Line	:	10063 GRANDVIEW AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1635
Country	:	US
Telephone Number	:	412-427-6412
Fax Number	:

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

Provider Enumeration Date	:	06/17/2016
Last Update Date	:	05/18/2026

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