Organization
G. TOM BIUCKIANS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G. TOM BIUCKIANS M.D. (PRESIDENT)
(617) 965-9611
Entity
Organization
Contact information
Practice address
2000 WASHINGTON ST, SUITE 224, NEWTON, MA 02462-1650
(617) 965-9611
(617) 965-0400
Mailing address
2000 WASHINGTON ST, SUITE 224, NEWTON, MA 02462-1650
(617) 965-9611
(617) 965-0400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
039064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B47162
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/25/2007
Last updated
09/25/2007
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