Healthcare Provider Details

I. General information

NPI: 1558342402
Provider Name (Legal Business Name): ADAM G BIUCKIANS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 OLDE HOMESTEAD LN
LANCASTER PA
17601-5875
US

IV. Provider business mailing address

320 HIGHLAND DRIVE P.O. BOX 597
MOUNTVILLE PA
17554
US

V. Phone/Fax

Practice location:
  • Phone: 717-390-0353
  • Fax: 717-390-1812
Mailing address:
  • Phone: 717-285-7121
  • Fax: 717-285-5302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD427129
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: