Active NPIOrganization

Bolanowski Surgical Group PC

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Elizabeth, New Jersey

NPI Number1891820965
Practice location
219 S Broad St, Elizabeth, NJ 07202-3453
Fax
908-355-9583
Last updated
August 22, 2020

Bolanowski Surgical Group PC is a healthcare organization based in Elizabeth, NJ. Bolanowski Surgical Group PC practices in Elizabeth, NJ. The NPI Number for Bolanowski Surgical Group PC is 1891820965 and holds a License No. MA25753 (NJ). The current practice location address for Bolanowski Surgical Group PC is 219 S Broad St, Elizabeth, NJ 07202-3453 and can be reached out via phone at 908-352-8110 and via fax at 908-355-9583.

Provider Profile Details

NPI Number
1891820965
Provider Name
Bolanowski Surgical Group PC
Provider Entity Type
Organization
Address
219 S Broad St, Elizabeth, NJ 07202-3453
Phone Number
908-352-8110
Fax Number
908-355-9583
Organization Subpart
No
Authorized Official
Paul Jp Bolanowski, MD · President · 908-352-8110
Provider Enumeration Date
February 22, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
219 S Broad St
Elizabeth, NJ 07202-3453
Zip
07202-3453
Phone Number
908-352-8110
Fax Number
908-355-9583
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
219 S Broad St
Elizabeth, NJ 07202-3453
City
Elizabeth
State
NJ
Zip
07202-3453
Phone Number
908-352-8110
Fax Number
908-355-9583

License Information

License Number
MA25753
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bolanowski Surgical Group PC?

The NPI number of Bolanowski Surgical Group PC is 1891820965. It was assigned on February 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Bolanowski Surgical Group PC?

Bolanowski Surgical Group PC is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in NJ under license number MA25753.

Where does Bolanowski Surgical Group PC practice?

The practice location is 219 S Broad St, Elizabeth, NJ 07202-3453. The office can be reached at 908-352-8110 (phone) or 908-355-9583 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891820965 directly on the NPPES registry website.

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