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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRYAN A. PUKENAS, MD

Active

DR. BRYAN A. PUKENAS, MD is a Radiation Oncology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1588713499 is currently active in the NPPES registry. Verify at CMS.

Radiation Oncology · PHILADELPHIA, PA

Registration Details

NPI Number
1588713499
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2007 (19.622071724202 yrs)
Last Updated
Sep 25, 2012
Licenses
MD434337 (PA)
MD434337 (PA)
MT182146 (PA)
MD434337 (PA)
25MA08447100 (NJ)

Practice Information

Address
3400 SPRUCE STREET
GROUND FLOOR DULLES
PHILADELPHIA, PA, 191044206
Browse PA providers · Browse ZIP 19104
Phone
2156623005
Fax
2156627011
Primary Specialty
Radiation Oncology
2085R0001X
Additional Specialty
Radiation Oncology
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology

Other Radiation Oncology Providers in PHILADELPHIA, PA

Name Credential NPI
SANGEETA K TYERECH M.D. 1356347504
JO ANN CHALAL MD 1316944424
DR. MARK L. SOBCZAK MD 1164422523
DR. WON S CHANG MD 1992787618
WILLIAM P LEVIN M.D. 1316920234
WILLIAM R RATE MD 1548249287
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.