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NPI Code Detail

MEDICARE: DR. JOHN BUCEK MD

MEDICARE: DR. JOHN BUCEK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMA06099900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265432942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN BUCEK MD
Provider Business Mailing Address
First Line : 110 REHILL AVE
Second Line :
City : SOMERVILLE
State : NJ
Zip : 08876-2519
Country : US
Telephone Number : 908-685-2900
Fax Number : 908-203-5964
Provider Business Practice Location Address
First Line : 110 REHILL AVE
Second Line :
City : SOMERVILLE
State : NJ
Zip : 08876-2519
Country : US
Telephone Number : 908-685-2900
Fax Number : 908-203-5964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 02/28/2017

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Directions to “ DR. JOHN BUCEK MD” Practice Location

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