Individual
JOHN MATTHEW BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
735 19TH AVE, LAKE COMO, NJ 07719-2902
(732) 681-7413
Mailing address
735 19TH AVE, LAKE COMO, NJ 07719-2902
(732) 681-7413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26N011085800
NJ
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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