Bolanowski Surgical Group Pc

LBN: Bolanowski Surgical Group Pc
Bolanowski Surgical Group Pc is an health care organization with primary practice located at 219 S Broad St , Elizabeth NJ 07202-3453. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Bolanowski Surgical Group Pc can be contacted via phone (908) 352-8110, or through Bolanowski, Paul Jp 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:
Map and Directions
Authorized official contact:
Name: Bolanowski, Paul Jp Doctor of Medicine (MD)
Phone: (908) 352-8110

Health care specialties

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

Profile Details

NPI number 1891820965
LBN Legal business name Bolanowski Surgical Group Pc
DBA Doing business as
Authorized official Bolanowski, Paul Jp Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891820965 NPPES
New Jersey MEDICAID 1553003

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