Individual
MS. RAE ANN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287
(410) 955-9472
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6856
AZ
363A00000X
Physician Assistant
Primary
C06777
MD
Other
Enumeration date
09/15/2017
Last updated
09/19/2024
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