Provider Demographics
NPI:1851759708
Name:DR BUCHAROWSKI LLC
Entity Type:Organization
Organization Name:DR BUCHAROWSKI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHAROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-594-6599
Mailing Address - Street 1:160 LANZA AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-3551
Mailing Address - Country:US
Mailing Address - Phone:973-594-6599
Mailing Address - Fax:
Practice Address - Street 1:160 LANZA AVE STE 7
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-3551
Practice Address - Country:US
Practice Address - Phone:973-594-6599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-07
Last Update Date:2016-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ270A00660900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty