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Individual

MS. JANINA BUKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
711 W 40TH ST STE 206, BALTIMORE, MD 21211-2108
(410) 842-6055
Mailing address
711 WEST 40TH ST, SUITE 206, BALTIMORE, MD 21211
(410) 949-5533

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C0005354
MD
363A00000X
Physician Assistant
Primary
C0005354
MD

Other

Enumeration date
07/27/2006
Last updated
03/04/2025
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