Individual
DR. KEVIN BUCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7772
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(208) 941-7772
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2547
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
STUDENT
MA
Other
Enumeration date
05/05/2020
Last updated
08/17/2023
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