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Contact Information

BOLANOWSKI SURGICAL GROUP PC
219 S BROAD ST
ELIZABETH, NJ07202-3453
 Phone: 908-352-8110
 Fax: 908-355-9583
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BOLANOWSKI SURGICAL GROUP PC

NPI Number 1891820965
LBN Legal business name BOLANOWSKI SURGICAL GROUP PC
Authorized official PAUL BOLANOWSKI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # MA25753
NJ Medicaid 1553003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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