Dr. Timothy Paul Bukowski, MD
Urology, Pediatric Urology in Raleigh, NC. Individual provider (NPI-1).
NPI number1104843556
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1104843556
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Paul Bukowski
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2006
- Certification date
- Jan 4, 2021
- Last updated
- Jan 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2088P0231X | Urology, Pediatric Urology | 9500849 | NC | Yes |
| 208800000X | Urology | 9500849 | NC |
Practice location
3821 Ed DrRaleigh, NC 27612-8038
Phone 919-851-5482 · Fax 919-859-1729
Mailing address
3821 Ed DrRaleigh, NC 27612-8038
Phone 919-851-5482 · Fax 919-859-1729
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