Provider Demographics
NPI:1982120481
Name:KOWALSKI SURGICAL CENTER LLC
Entity Type:Organization
Organization Name:KOWALSKI SURGICAL CENTER LLC
Other - Org Name:BUCKS COUNTY CENTER FOR VEIN MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KOWALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-757-5131
Mailing Address - Street 1:301 OXFORD VALLEY RD STE 701
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7706
Mailing Address - Country:US
Mailing Address - Phone:215-757-5131
Mailing Address - Fax:215-757-5870
Practice Address - Street 1:301 OXFORD VALLEY RD STE 701
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7706
Practice Address - Country:US
Practice Address - Phone:215-757-5131
Practice Address - Fax:215-757-5870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD420494208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty