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1225074180
ANDREW IAN BUKOVITZ
BALTIMORE, MD
NPI
1225074180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MD D61438)
Enumeration Date
2006-06-21
Last Update Date
2007-07-10
Business Address
-- ANDREW IAN BUKOVITZ MD
3001 S HANOVER ST
BALTIMORE, MD 21225-1233
Phone number: 410-350-3509
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Mailing Address
-- ANDREW IAN BUKOVITZ MD
307 S EVERGREEN AVE
WOODBURY, NJ 08096-2739
Phone number: 856-686-4300
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