BRUCE BOLASNY M.D. NPI 1588661854

NPI Information

NPI: 1588661854
Provider Name: BRUCE BOLASNY, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
103 WOLF CREEK BLVD
SUITE 1
DOVER, DE
ZIP 19901
Phone: (302) 674-2420
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Bruce Bolasny, M.D. is a specialist in Dover, DE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Bruce Bolasny, M.D. NPI is 1588661854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

103 WOLF CREEK BLVD
SUITE 1
DOVER, DE
ZIP 19901-915
Phone: (302) 674-2420
Fax: (302) 674-4473

The enumeration date for this NPI number is 7/1/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		C1-0000582	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00A782H59	MEDICARE ID-TYPE UNSPECIFIED
2	B66525	MEDICARE UPIN
3	0001156101	MEDICAID	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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