Individual
DANIEL LUCZKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 BURSLEY PATH, WEST BARNSTABLE, MA 02668-1361
(508) 292-4270
Mailing address
49 BURSLEY PATH, WEST BARNSTABLE, MA 02668-1361
(508) 292-4270
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
223191
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103834
—
MA
01
—
J29442
BLUE SHIELD
MA
Enumeration date
05/11/2006
Last updated
01/21/2009
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