Bolanowski, Paul J

Bolanowski, Paul J is an individual health care provider with primary practice located at 219 S Broad St , Elizabeth NJ 07202-3453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bolanowski, Paul J can be contacted via phone (908) 352-8110.

Contact Information

Primary practice address
219 S Broad St Elizabeth NJ 07202-3453
Phone: (908) 352-8110
Fax: (908) 355-9583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MA25753 New Jersey

Profile Details

NPI number 1407846587
LBN Legal business name Bolanowski, Paul J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jun 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407846587 NPPES
New Jersey MEDICAID 1553003

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