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Contact Information

SANJA BUKARAC, PA-C
20 BUCA RUN
PORTLAND, ME04103-1427
 Phone: 207-749-6383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SANJA BUKARAC · (Female)

NPI # 1881090033
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/17/2014
Last updated 11/17/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 015030
  • NY Other 015030 NEW YORK STATE LICENSE NUMBER
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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.

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