Individual
MR. ANDREW JOSEPH BOJANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
023541
NY
363A00000X
Physician Assistant
Primary
0010-10438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155258
NCCPA CERTIFICATION
—
Enumeration date
07/31/2019
Last updated
01/12/2024
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