Individual
DR. ROBERT PUCHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
23048
SC
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
23048
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230486
—
SC
01
—
DE5192
UNSPECIFIED
SC
Enumeration date
07/12/2006
Last updated
05/26/2020
Update your record
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