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Individual
LOUIS V BUCKLEY
Active
Individual
LOUIS V BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
020170
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012170CL
BLUE CARE FAMILY PLAN
—
01
—
20170CT01
ANTHEM BLUE CROSS
—
01
—
30503
HEALTHNET
—
05
—
4024972
—
CT
05
—
4041679
—
CT
01
—
75621
CONNECTICARE
—
01
—
NLS127
OXFORD
—
Enumeration date
08/08/2006
Last updated
07/09/2007
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