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 |