Basic Information
Provider Information
NPI: 1699124792
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIALECKI
FirstName: ALISON
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2150 PENNSYLVANIA AVE NW FL 5
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200373201
CountryCode: US
TelephoneNumber: 2027412500
FaxNumber:  
Practice Location
Address1: 2150 PENNSYLVANIA AVE NW FL 5
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200373201
CountryCode: US
TelephoneNumber: 2027412500
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/09/2016
LastUpdateDate: 07/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X125068972ILN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XMD048584DCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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