Paul J Bolanowski, MD | |
219 S Broad St, Elizabeth, NJ 07202-3453 | |
(908) 352-8110 | |
(908) 355-9583 |
Full Name | Paul J Bolanowski |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 219 S Broad St, Elizabeth, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407846587 | NPI | - | NPPES |
1553003 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MA25753 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Paul J Bolanowski, MD Po Box 1252, Elizabeth, NJ 07207-1252 Ph: (908) 352-8110 | Paul J Bolanowski, MD 219 S Broad St, Elizabeth, NJ 07202-3453 Ph: (908) 352-8110 |
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