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Individual

DR. TIMOTHY ANTHONY BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 763-2211
Mailing address
1 LIBERTY PLZ STE 301, NEW YORK, NY 10006-1404
(917) 261-4414

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036132513
IL
207Q00000X
Family Medicine Physician
147954
FL
207Q00000X
Family Medicine Physician
D0096374
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036132513
IL
Enumeration date
05/25/2010
Last updated
12/17/2024
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