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Individual

DR. ABRAHAM KARL BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
230 JOHN ST, LAWRENCE, NY 11559-1267
(914) 629-2717

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243860
NY
207Q00000X
Family Medicine Physician
OP60223570
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03260079
NY
01
OP60223570
WASHINGTON STATE
WA
Enumeration date
05/15/2007
Last updated
11/08/2011
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