Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 35.128242 | OH |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD453987 | PA |
NPI | 1043502651 |
---|---|
Provider Name | Marzena M Buzanowska |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2011 |
Last Update Date | 15/07/2016 |