Provider Demographics
NPI:1861863441
Name:BUDICA, MARCEL D (PA)
Entity Type:Individual
Prefix:
First Name:MARCEL
Middle Name:D
Last Name:BUDICA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:HARBORVIEW MEDICAL CENTER, PO BOX 359750
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-744-9888
Mailing Address - Fax:206-744-9773
Practice Address - Street 1:3100 NORTHUP WAY
Practice Address - Street 2:UW MEDICINE EASTSIDE SPECIALTY CENTER
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1467
Practice Address - Country:US
Practice Address - Phone:877-520-5000
Practice Address - Fax:206-598-6797
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant