Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersDR. DON CHARLES WUKASCH M.D.,FACS,FACC,FACCP
Psychoanalysis
Florence, Massachusetts
Provider NPI: 1306994520
Provider Information:DR. DON CHARLES WUKASCH M.D.,FACS,FACC,FACCP
Gender: M
Sole Proprietor
Practice Location:
92 MAIN ST SUITE 202 FLORENCE, MA 01062 US
Tel: 413-527-1167 Fax: 512-472-4701
Business Mailing Address:
500 W 18TH ST AUSTIN, TX 78701 US
Tel: 713-256-1133 Fax: 512-472-4701
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 103TP0814X | Behavioral Health & Social Service Providers Psychologist Psychoanalysis | TX | D0356 |
| N | 208600000X | Physicians Surgery | TX | D0356 |
| Y | 2084P0800X | Physicians Psychiatry & Neurology | TX | D0356 |
| N | 208G00000X | Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery) | TX | D0356 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CON TROLLED SUBSTANCE REGISTRATION | K0016291 | TX | 01 |
| CON TROLLED SUBSTANCE REGISTRATION | MW0858766A | MA | 01 |
| MEDICAL LICENSE NUMBER | D 0356 | TX | 01 |
| MEDICAL STATE LICENSE NUMBER | 231167 | MA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
