Provider Demographics
NPI:1982888111
Name:DUZYJ-BUNIAK, CHRISTINA MARIA (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIA
Last Name:DUZYJ-BUNIAK
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:M DUZYJ
Other - Last Name:BUNIAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD MPH
Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:FOUNDERS 456
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:617-724-2640
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST YAW 4F
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-2229
Practice Address - Fax:617-724-3498
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT048366207V00000X
NJ25MA09346400207VM0101X
NH23079207VM0101X
MA280234207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3118888Medicaid