Physician Compare National (NPI:1114953403)

HEALTHCARE PROVIDER: ERWIN JOSEPH BULAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114953403
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153347026
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051020000072
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BULAN
	Individual professional last name
Provider First Name	ERWIN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	75 MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	MILLBURN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070411322
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y