Deborah J Bolanowski, MD
Individual provider Active NPI Pediatrics Physician · Sellersville, PA
NPI 1427010339 · NPPES record last updated Jun 19, 2013
Key facts
- NPI
- 1427010339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD036236 (PA)
- Practice address
- 711 Lawn Ave
Sellersville, PA 18960-1575 - Phone
- (215) 257-2727
- Fax
- (215) 257-8735
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036236 | PA | MD | Pediatrics Physician |
Interoperability endpoints
- deborah.bolanowski@ppa.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD036236 | PA | Yes |
Addresses
Primary practice location
711 Lawn Ave
Sellersville, PA 18960-1575
Mailing address
711 Lawn Ave
Sellersville, PA 18960-1575
Phone (215) 257-2727
Other providers in Sellersville, PA
- Catherine Victoria Bianco
- Ashley Bittner
- Colleen M Blaker
- Mallory E Bobb
- Grace Annabel Bodner
- Anne M Bole
- Cheryl Anne Booker-Carter
- Jennifer L Bostic
- Tedd M Bradford
- Kaitlyn M Bramble
All providers in Sellersville, PA · Pediatrics Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.