# BOLANOWSKI SURGICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891820965
- **Authorized official:** PAUL JP BOLANOWSKI MD (PRESIDENT)
- **Authorized official phone:** (908) 352-8110

## Contact information

- **Practice address:** 219 S BROAD ST, ELIZABETH, NJ 07202-3453
- **Practice address phone:** (908) 352-8110
- **Practice address fax:** (908) 355-9583
- **Mailing address:** 219 S BROAD ST, ELIZABETH, NJ 07202-3453
- **Mailing address phone:** (908) 352-8110
- **Mailing address fax:** (908) 355-9583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | MA25753 | NJ | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020