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Individual

MR. PATRICK M BUDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 HIGHWAY 71, SEA GIRT, NJ 08750-2805
(732) 974-8100
(732) 974-9125
Mailing address
700 HIGHWAY 71, SUITE 2, SEA GIRT, NJ 08750-2805
(732) 974-8100
(732) 974-9125

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA04418200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3919706
NJ
Enumeration date
10/05/2005
Last updated
01/26/2010
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