Individual
DR. JOHN J BOMALASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 NICHOLASVILLE RD STE 1100, LEXINGTON, KY 40503-1466
(859) 278-5671
(859) 278-5978
Mailing address
1700 NICHOLASVILLE RD STE 1100, LEXINGTON, KY 40503-1466
(859) 278-5671
(859) 278-5978
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
59330
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000433300
—
FL
01
—
32474X
HFMG MA
FL
05
—
7100978740
—
KY
Enumeration date
02/09/2006
Last updated
07/11/2024
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