Provider Demographics
NPI:1558626796
Name:BITTON-FAIWISZEWSKI, YONATAN (MD)
Entity type:Individual
Prefix:DR
First Name:YONATAN
Middle Name:
Last Name:BITTON-FAIWISZEWSKI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 E 144TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9210
Mailing Address - Country:US
Mailing Address - Phone:720-772-8040
Mailing Address - Fax:720-805-1551
Practice Address - Street 1:805 E 144TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80023-9210
Practice Address - Country:US
Practice Address - Phone:720-772-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303491207RI0011X, 207RC0000X
CAA129133207R00000X
UT11307521-1205207RI0011X
CODR.0074743207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease