Provider Demographics
NPI:1114946621
Name:BIALOWOLSKA-ROMANIUK, BARBARA KAROLINA (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:KAROLINA
Last Name:BIALOWOLSKA-ROMANIUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9832 W EAGLE TALON TRL
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-2926
Mailing Address - Country:US
Mailing Address - Phone:623-546-0007
Mailing Address - Fax:623-584-6915
Practice Address - Street 1:13945 W GRAND AVE
Practice Address - Street 2:SUITE A-105
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2437
Practice Address - Country:US
Practice Address - Phone:623-546-0007
Practice Address - Fax:623-584-6915
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZG43946Medicare UPIN