Provider Demographics
NPI:1154378594
Name:SOLIMAN, JOSEPH S (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 BOULEVARD AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18509-1237
Mailing Address - Country:US
Mailing Address - Phone:570-343-2244
Mailing Address - Fax:570-961-3222
Practice Address - Street 1:2324 BOULEVARD AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-1237
Practice Address - Country:US
Practice Address - Phone:570-343-2244
Practice Address - Fax:570-961-3222
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047857L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA411950OtherFIRST PRIORITY LIFE INSURANCE COMPANY
PA001496OtherFIRST PRIORITY HEALTH INSURANCE
PA0013935480003Medicaid
PA411950OtherHIGHMARK BLUE SHIELD
PA0013935480006Medicaid
PA11428 E4CJOtherGEISINGER HEALTH PLAN
PA714860OtherAETNA
PA930040402Medicare PIN
PA11428 E4CJOtherGEISINGER HEALTH PLAN
PA411950Medicare PIN