Provider Demographics
NPI:1679706923
Name:BESTCARE INTERNAL MEDICINE, PLLC
Entity type:Organization
Organization Name:BESTCARE INTERNAL MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:KAROLINA
Authorized Official - Last Name:BIALOWOLSKA-ROMANIUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-546-0007
Mailing Address - Street 1:9832 W EAGLE TALON TRL
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-2926
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13945 W GRAND AVE
Practice Address - Street 2:SUITE A-105
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2437
Practice Address - Country:US
Practice Address - Phone:623-546-0007
Practice Address - Fax:623-584-6915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty