IndividualActive
Timothy Bukowski, MD
NPI 1104843556 · Pediatric Urology Physician · Raleigh, NC
Provider details
- NPI number
- 1104843556
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 9500849 (NC)
Practice location
3821 Ed Dr
Raleigh, NC 27612-8038
Phone: (919) 851-5482
Fax: (919) 859-1729
Mailing address
3821 Ed Dr
Raleigh, NC 27612-8038
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2021-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.