Dr. Matthew Bucovetsky, DPT
Physical Therapist in Camden, NJ. Individual provider (NPI-1).
NPI number1982300331
StatusActive
Last updated in NPPESFeb 6, 2023
Details
- NPI
- 1982300331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Bucovetsky
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2023
- Certification date
- Feb 6, 2023
- Last updated
- Feb 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02050800 | NJ | Yes |
Practice location
1 Cooper PlzCamden, NJ 08103-1461
Phone 800-826-6737
Mailing address
3149 Cedar StPhiladelphia, PA 19134-4449
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