Individual
DR. TIMOTHY PAUL BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3821 ED DR, RALEIGH, NC 27612-8038
(919) 851-5482
(919) 859-1729
Mailing address
3821 ED DR, RALEIGH, NC 27612-8038
(919) 851-5482
(919) 859-1729
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
9500849
NC
2088P0231X
Pediatric Urology Physician
Primary
9500849
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8919639
—
NC
Enumeration date
07/15/2006
Last updated
01/04/2021
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