Individual
DR. JUAN CARLOS BULACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE # S51, CLEVELAND, OH 44195-0001
(216) 636-5684
(216) 444-0343
Mailing address
9500 EUCLID AVE # S51, CLEVELAND, OH 44195-0001
(216) 636-5684
(216) 444-0343
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
80-000023
OH
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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