Michaela Bukoski, PA-C Valid NPI

Individual provider · Physician Assistant · Wayne, NJ

NPI

1992352199

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

25MP00539700 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2019-08-22

Last updated

2020-10-23