Provider Demographics
NPI:1689660839
Name:WOLANSKA, BOZENA DANUTA (MD)
Entity Type:Individual
Prefix:DR
First Name:BOZENA
Middle Name:DANUTA
Last Name:WOLANSKA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:125 OLDE GREENWICH DR
Mailing Address - Street 2:STE 300
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-4008
Mailing Address - Country:US
Mailing Address - Phone:540-374-5599
Mailing Address - Fax:540-735-8097
Practice Address - Street 1:125 OLDE GREENWICH DR
Practice Address - Street 2:SUITE 300
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408
Practice Address - Country:US
Practice Address - Phone:540-374-5599
Practice Address - Fax:540-735-8097
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2019-06-10
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Provider Licenses
StateLicense IDTaxonomies
VA0101233578207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH04702Medicare UPIN