Basic Information
Provider Information
NPI: 1700856176
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIELAWSKA
FirstName: IWONA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber: 4076507715
FaxNumber: 3026514945
Practice Location
Address1: 1717 S ORANGE AVE
Address2: SUITE 100
City: ORLANDO
State: FL
PostalCode: 328062944
CountryCode: US
TelephoneNumber: 4076507715
FaxNumber: 4076507124
Other Information
ProviderEnumerationDate: 01/26/2006
LastUpdateDate: 07/27/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X35081673OHN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP3000X35081673OHN Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
207LP2900X35081673OHN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207LP3000XME91293FLY Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology

No ID Information.


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