Provider Demographics
NPI:1659612273
Name:BUKOVITZ, ANDREW GEORGE (MS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:GEORGE
Last Name:BUKOVITZ
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2557
Mailing Address - Country:US
Mailing Address - Phone:412-364-2015
Mailing Address - Fax:412-364-2015
Practice Address - Street 1:UNIVERSITY DRIVE C VAPHS ROOM BW207
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-360-3337
Practice Address - Fax:412-360-6940
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other