Individual
DR. RICHARD JOSEPH BUKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MA02113000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150142000
AMERIHEALTH
NJ
05
—
2895102
—
NJ
01
—
2K0824
HEALTHNET
—
05
—
8828709
—
NJ
01
—
US133
OXFORD
—
Enumeration date
08/10/2005
Last updated
08/12/2008
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