Individual
MICHAELA BUKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1055 HAMBURG TPKE STE 100, WAYNE, NJ 07470-3235
(973) 616-0200
(973) 616-1792
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00539700
NJ
Other
Enumeration date
08/22/2019
Last updated
10/23/2020
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