Individual
DR. PETER MICHAEL JUCOVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7414 CRITTENDEN ST, PHILADELPHIA, PA 19119-1015
(215) 242-6140
Mailing address
7414 CRITTENDEN ST, PHILADELPHIA, PA 19119-1015
(215) 242-6140
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD020043E
PA
Other
Enumeration date
10/09/2017
Last updated
06/16/2018
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