Provider Demographics
NPI:1487709093
Name:BUCSEK, DEBORAH J (APN C)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:BUCSEK
Suffix:
Gender:F
Credentials:APN C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 CEDAR BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08270-9112
Mailing Address - Country:US
Mailing Address - Phone:609-427-6096
Mailing Address - Fax:
Practice Address - Street 1:408 BETHEL ROAD SUITE E
Practice Address - Street 2:JERSEY SHORE GASTROENTEROLOGY ASSOCIATES PA
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244
Practice Address - Country:US
Practice Address - Phone:609-926-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR06796500163W00000X
NJ26NJ00118400363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse