1184713190 NPI number — DR. MICHAEL ANTHONY BOLOGNESE M.D.

Table of content: DR. MICHAEL ANTHONY BOLOGNESE M.D. (NPI 1184713190)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184713190 NPI number — DR. MICHAEL ANTHONY BOLOGNESE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOLOGNESE
Provider First Name:
MICHAEL
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184713190
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10215 FERNWOOD RD STE 40
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20817-1183
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-530-1166
Provider Business Mailing Address Fax Number:
301-530-1295

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10215 FERNWOOD RD
Provider Second Line Business Practice Location Address:
STE 40
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20817-1183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-530-1166
Provider Business Practice Location Address Fax Number:
301-530-1295
Provider Enumeration Date:
10/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RE0101X , with the licence number:  D24324 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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