Individual
DR. GENE BUKHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
241 PERKINS ST, APT J401, BOSTON, MA 02130-4002
(857) 498-0541
Mailing address
176 HILLSIDE ST, #3, BOSTON, MA 02120-3255
(857) 498-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216106
MA
207RC0000X
Cardiovascular Disease Physician
Primary
216106
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216106
STATE MEDICAL LICENSE
MA
Enumeration date
04/05/2007
Last updated
08/16/2012
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