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NPI Code Detail

MEDICARE: BRYANT E BOJEWSKI DO

MEDICARE: BRYANT E BOJEWSKI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOS006966LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124009188
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYANT E BOJEWSKI DO
Provider Business Mailing Address
First Line : 1 LECOM PL
Second Line :
City : ERIE
State : PA
Zip : 16505-2571
Country : US
Telephone Number : 814-868-2507
Fax Number : 814-868-2522
Provider Business Practice Location Address
First Line : 2820 W 12TH ST
Second Line :
City : ERIE
State : PA
Zip : 16505-4204
Country : US
Telephone Number : 814-833-8800
Fax Number : 814-833-2079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 12/05/2023

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Directions to “ BRYANT E BOJEWSKI DO” Practice Location

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