Individual
CAITLIN MARY BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 829-2345
(215) 829-3365
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 829-2345
(215) 829-3365
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
26NJ00861400
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
SP020429
PA
Other
Enumeration date
10/01/2018
Last updated
07/13/2020
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