Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 206630 | MA |
NPI | 1164595765 |
---|---|
Provider Name | Wojciech Bulczynski |
First Address | North Easton, MA 02356-1000 |
Second Address | North Easton, MA 02356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 25/09/2019 |