Provider Demographics
NPI:1457640609
Name:CZARTORYSKY, BOHDAN NICHOLAS (MD)
Entity Type:Individual
Prefix:
First Name:BOHDAN
Middle Name:NICHOLAS
Last Name:CZARTORYSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:199 POMEROY RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3706
Mailing Address - Country:US
Mailing Address - Phone:973-515-2804
Mailing Address - Fax:973-515-2933
Practice Address - Street 1:199 POMEROY RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3706
Practice Address - Country:US
Practice Address - Phone:973-515-2804
Practice Address - Fax:973-515-2933
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA078611002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry