Provider Demographics
NPI:1609878438
Name:BITNER, BOZENA W (MD)
Entity Type:Individual
Prefix:DR
First Name:BOZENA
Middle Name:W
Last Name:BITNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 BELLEVILLE TPKE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6463
Mailing Address - Country:US
Mailing Address - Phone:201-997-4040
Mailing Address - Fax:201-997-4040
Practice Address - Street 1:312 BELLEVILLE TPKE
Practice Address - Street 2:SUITE 1C
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6463
Practice Address - Country:US
Practice Address - Phone:201-997-4040
Practice Address - Fax:201-997-4040
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06164900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6924701Medicaid
NJ857999TLMMedicare PIN
NJ857999UXLMedicare PIN
NJ857999UWYMedicare PIN
P00391082Medicare PIN
NJ857999Medicare ID - Type Unspecified
NJ857999UWXMedicare PIN
NJ857999P7GMedicare PIN
NJG25142Medicare UPIN
NJ857999DPHMedicare PIN