Individual
DAVID BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 BOYLSTON ST STE 191L, BOSTON, MA 02116-3604
(617) 302-7102
Mailing address
607 BOYLSTON ST STE 191L, BOSTON, MA 02116-3604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2288838
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2288838
MA
Other
Enumeration date
11/14/2013
Last updated
09/12/2020
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