Provider Demographics
NPI: | 1912439704 |
---|---|
Name: | CHOJNOWSKI, ROBERT (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | ROBERT |
Middle Name: | |
Last Name: | CHOJNOWSKI |
Suffix: | |
Gender: | M |
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: | 3400 SPRUCE STREET |
Mailing Address - Street 2: | |
Mailing Address - City: | PHILADELPHIA |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19104-4206 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 215-349-8310 |
Mailing Address - Fax: | 215-893-7270 |
Practice Address - Street 1: | 3400 SPRUCE STREET |
Practice Address - Street 2: | |
Practice Address - City: | PHILADELPHIA |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19104-4206 |
Practice Address - Country: | US |
Practice Address - Phone: | 215-349-8310 |
Practice Address - Fax: | 215-893-7270 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2017-03-30 |
Last Update Date: | 2022-12-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD477380 | 207L00000X, 207LP2900X |
NJ | 25MA11542800 | 207L00000X, 207LP2900X |
390200000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |