Mary E Bukovitz, MD
Pediatrics in Morristown, TN. Individual provider (NPI-1).
NPI number1164517942
StatusActive
Last updated in NPPESNov 8, 2018
Details
- NPI
- 1164517942
- Entity type
- Individual (NPI-1)
- Name
- Mary E Bukovitz
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Nov 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 6021 | TN | Yes |
Other names
- Mary E Allum (Other Name)
Practice location
1817 W Morris BlvdMorristown, TN 37813-2837
Phone 423-581-3904 · Fax 423-581-6120
Mailing address
1225 E Weisgarber Rd Ste 200Knoxville, TN 37909-2675
Phone 865-584-4747 · Fax 865-584-1363
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