Individual
MRS. JEANETTE MARIE BUCZACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
855 SPRINGDALE DR STE 120, EXTON, PA 19341-2836
(610) 561-6100
(610) 524-0133
Mailing address
3457 WEST CHESTER PIKE, SUITE 120, NEWTOWN SQUARE, PA 19073
(610) 353-6600
(610) 353-3399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004088
PA
Other
Enumeration date
08/28/2012
Last updated
07/18/2019
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