Bukowski, Timothy Paul

Bukowski, Timothy Paul is an individual health care provider with primary practice located at 3821 Ed Dr , Raleigh NC 27612-8038. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Bukowski, Timothy Paul can be contacted via phone (919) 851-5482.

Contact Information

Primary practice address
3821 Ed Dr Raleigh NC 27612-8038
Phone: (919) 851-5482
Fax: (919) 859-1729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 9500849 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 9500849 North Carolina

Profile Details

NPI number 1104843556
LBN Legal business name Bukowski, Timothy Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104843556 NPPES
North Carolina MEDICAID 8919639

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