Individual
OLGIERD PUCILOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
PSYCHIATRIC AND ADDICTIN THERAPEUTIC HEALING SERVICES, 800 N JUSTICE STREET, HENDERSONVILLE, NC 28791-3410
(828) 696-4250
(828) 696-4256
Mailing address
1203 WILLOW DR, CHAPEL HILL, NC 27517-3029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200000116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2281241B
MEDICARE PTAN
NC
01
—
P01174529
RR MEDICARE
NC
Enumeration date
02/10/2006
Last updated
10/01/2018
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