Individual
DR. CHARLTON E STUCKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 NW 9TH AVE, BOCA RATON, FL 33486-1304
(561) 395-5733
Mailing address
2828 S SEACREST BLVD, SUITE 216, BOYNTON BEACH, FL 33435-7944
(561) 395-2117
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
233111
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME115536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233111
—
MA
Enumeration date
04/29/2008
Last updated
12/02/2013
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