NPI | 1871633719 |
---|---|
Professional Name | PAUL J. BUCOLO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME143433) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 3476) |
207Q00000X Family Medicine (Licence: FL PA3476) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2023-04-10 |