MEDICARE: DR. KRZYSZTOF BOLESLAW LICHNOWSKI M.D.

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
1	207R00000X	Internal Medicine Physician	MA50509	NJ

General Provider Information

NPI Number	:	1558334458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRZYSZTOF BOLESLAW LICHNOWSKI M.D.

Provider Business Mailing Address
First Line	:	204 JACK MARTIN BLVD.
Second Line	:	C-3
City	:	BRICK
State	:	NJ
Zip	:	08724-3515
Country	:	US
Telephone Number	:	732-840-8500
Fax Number	:	732-840-7552

Provider Business Practice Location Address
First Line	:	204 JACK MARTIN BLVD
Second Line	:	C-3
City	:	BRICK
State	:	NJ
Zip	:	08724-7770
Country	:	US
Telephone Number	:	732-840-8500
Fax Number	:	732-840-7552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	01/31/2011

Similar Medicare Providers

1477921971 — BRANDON J HOM PA-C
Practice Location Address:

206 JACK MARTIN BLVD STE C2
BRICK, NJ
08724-7770

Practice Phone: 732-840-8402
Practice Fax: 732-840-8407

1063482651 — MARK KAROLAK D.O.
Practice Location Address:

208 JACK MARTIN BLVD
BRICK, NJ
08724-7770

Practice Phone: 732-458-8575
Practice Fax: 732-206-0578

1720044308 — DR. SHIVENDRA PANDEY M.D.
Practice Location Address:

204 JACK MARTIN BLVD , SUITE C3
BRICK, NJ
08724-7770

Practice Phone: 732-840-0880
Practice Fax: 732-840-3499

1598780033 — DR. MUTAHIR ALI ABIDI M.D.
Practice Location Address:

206 JACK MARTIN BLVD STE C2
BRICK, NJ
08724-7770

Practice Phone: 732-840-8402
Practice Fax: 732-840-8407

1124478052 — MELISSA TURANO NP-C
Practice Location Address:

206 JACK MARTIN BLVD STE C2
BRICK, NJ
08724-7770

Practice Phone: 732-840-8402
Practice Fax:

1952944845 — MRS. MELISSA CHRISTINE KIRCHNER RD
Practice Location Address:

208 JACK MARTIN BLVD BLDG C-1
BRICK, NJ
08724-7770

Practice Phone: 732-701-4848
Practice Fax:

Directions to “ DR. KRZYSZTOF BOLESLAW LICHNOWSKI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.