Organization
BOLANOWSKI SURGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JP BOLANOWSKI MD (PRESIDENT)
(908) 352-8110
Entity
Organization
Contact information
Practice address
219 S BROAD ST, ELIZABETH, NJ 07202-3453
(908) 352-8110
(908) 355-9583
Mailing address
219 S BROAD ST, ELIZABETH, NJ 07202-3453
(908) 352-8110
(908) 355-9583
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA25753
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1553003
—
NJ
Enumeration date
02/22/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us