Individual
JOHN S. BUCCHIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 MENTOR AVE, SUITE 210, MENTOR, OH 44060-8713
(440) 352-1711
(440) 352-7562
Mailing address
9500 MENTOR AVE, SUITE 210, MENTOR, OH 44060-8713
(440) 352-1711
(440) 352-7562
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-07-8008-B
OH
207XS0106X
Orthopaedic Hand Surgery Physician
35-07-8008-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2185648
—
OH
Enumeration date
08/24/2006
Last updated
06/21/2021
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