Pediatric Urology of North Carolina
Pediatric Urology of North Carolina is a Pediatric Urology Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
Practice location Address checks out
2406 Blue Ridge Rd Ste 190Raleigh, NC 27607-6678
Phone: (919) 785-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Urology Physician (primary) | Taxonomy 2088P0231X · Licence 9500849 (NC) |
|---|
Record details
| NPI number | 1780601120 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Bukowski — President · (919) 785-1888 |
| NPI enumerated | July 15, 2006 |
| Last updated in NPPES | February 4, 2008 |
| Mailing address | 2406 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6678 |