Krzysztof B Lichnowski


Address: 204 Jack Martin Blvd, Suite C 3, Brick, NJ 08724-7770
Phone: 7328408500

Krzysztof B Lichnowski (NPI# 1558334458, PAC ID# 2163456567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1558334458
PAC ID by PECOS 2163456567
Professional Enrollment ID I20050926000103
Full Name Krzysztof B Lichnowski
Address 204 Jack Martin Blvd
Suite C 3
Brick
NJ 08724-7770
Phone Number 7328408500
Gender M
Credential MD
Graduation Year 1985
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310052 OCEAN MEDICAL CENTER
310084 MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS

Other Locations

Address Phone Organization
204 Jack Martin Blvd, Suite C 3, Brick, NJ 08724-7770 7328408500

Organization Information

Office Location

Street Address 204 JACK MARTIN BLVD
SUITE C 3
City BRICK
State NJ
Zip 08724-7770

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Competitor

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City BRICK
Zip Code 08724
Specialty INTERNAL MEDICINE
City + Specialty BRICK + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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