Individual
DR. JUAN CARLOS BUCOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CENTER, HEALTH SCIENCE CENTER T17-060, STONY BROOK, NY 11794-8173
(631) 444-2119
Mailing address
STONY BROOK UNIVERSITY MEDICAL CENTER, HEALTH SCIENCE CENTER T17-060, STONY BROOK, NY 11794-8173
(631) 444-2119
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
257653
NY
Other
Enumeration date
10/09/2007
Last updated
07/21/2010
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