Dr ROMAN P BUKACHEVSKY is a male medical professional, specializing in Otolaryngology. He graduated in 1986 from Umdnj-new Jersey Medical School.
295 POSADA LN B
TEMPLETON
CA
934654055
Tel:
| Npi | 1205836954 |
| Pac Id | 8921109497 |
| Professional Enrollment Id | I20101019001412 |
| Last Name | BUKACHEVSKY |
| First Name | ROMAN |
| Middle Name | P |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1986 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Organization Legal Name | |
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| Line 1 Street Address | 295 POSADA LN B |
| Line 2 Street Address | |
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| City | TEMPLETON |
| State | CA |
| Zip Code | 934654055 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 050633 |
| Hospital Affiliation Lbn 1 | TWIN CITIES COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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