Provider Demographics
NPI:1518372655
Name:BOLLIG, CRAIG ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ALLEN
Last Name:BOLLIG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10 PLUM ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2066
Mailing Address - Country:US
Mailing Address - Phone:732-235-5530
Mailing Address - Fax:732-235-7220
Practice Address - Street 1:500 UNIVERSITY DRIVE, MC H091
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-0853
Practice Address - Country:US
Practice Address - Phone:717-531-8945
Practice Address - Fax:717-531-6160
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-27
Last Update Date:2022-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD478740207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology