National Provider Identifier Database

BEVERLY A PUCKA MD PC
Gynecology

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


Contact Information

BEVERLY A. PUCKA, MD P.C.
8120 CONSTITUTION PL NE
SUITE 220
ALBUQUERQUE, NM87110-7654
Phone: 505-842-8741
Fax: 505-842-8190
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for BEVERLY A. PUCKA, MD P.C.

NPI Number 1235377268
Legal business name
LBN
BEVERLY A. PUCKA, MD P.C.
Authorized official BEVERLY PUCKA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/29/2009
Last updated 01/29/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 86-107
  • NM Medicaid: 37325

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 P.C.

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