Individual
DR. BRYAN A. PUKENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE STREET, PHILADELPHIA, PA 19107-6130
(215) 829-3201
(215) 829-5697
Mailing address
800 SPRUCE STREET, PHILADELPHIA, PA 19107-6130
(215) 829-3201
(215) 829-5697
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD434337
PA
2085R0001X
Radiation Oncology Physician
Primary
MD434337
PA
2085R0202X
Diagnostic Radiology Physician
25MA08447100
NJ
2085R0202X
Diagnostic Radiology Physician
25MA08447100
PA
2085R0202X
Diagnostic Radiology Physician
MD434337
PA
2085R0202X
Diagnostic Radiology Physician
MT182146
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176044
—
NJ
05
—
102134964-0001
—
PA
Enumeration date
01/09/2007
Last updated
05/13/2026
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