| Doctor Name: | MICHAEL J BOZAN |
| NPI Number: | 1528159951 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DC |
| License Number: | |
| Business Practice Address: | 237 Park Avenue East Rutherford, NJ - 07073 |
| Business Phone Number: | 2014387474 |
| Business Fax Number: | 2014388255 |
| Mailing Address: | 237 Park Avenue, EAST RUTHERFORD |
| State: | NJ |
| Postal Code: | 07073 |
| Phone Number: | 2014387474 |
| Fax Number: | 2014388255 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 10/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |