National Provider Identifier Database

BEVERLY A PUCKA, MD – NPI #1881701191
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

BEVERLY A PUCKA, MD
1001 COAL AVE SE
ALBUQUERQUE, NM87106-5205
Phone: 505-843-6168
Fax: 505-792-1978
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for BEVERLY A PUCKA

NPI Number 1881701191
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 05/23/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 86107
  • NM Medicaid: 37325
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BEVERLY A PUCKA, MD

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