Individual
MR. STANLEY DAVID BUKOWIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 256-8224
(978) 256-8224
Mailing address
17 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 256-8224
(978) 256-8224
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
MA1713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534025
—
MA
Enumeration date
08/31/2006
Last updated
07/09/2007
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