Edward Shukovsky

NPI #1619362571 in Stamford, Connecticut

Provider Information

NPI Number: 1619362571
Entity Type: Organization
Organization Name: Edward Shukovsky
Primary Specialty: Dentist
Enumeration Date: Mar 30, 2015
Last Updated: Mar 30, 2015

Practice Location

Address: 1290 SUMMER ST
Address 2: SUITE 3400
City: Stamford
State: Connecticut
ZIP Code: 06905-5360
Phone: (203) 348-2411

Authorized Official

Name: DR. EDWARD SHUKOVSKY, DMD
Title: OWNER
Phone: (203) 348-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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