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Individual

JOHN JOSEPH BUCKLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
935 TRAILWOOD DR, BOARDMAN, OH 44512-5062
(330) 758-8146
(330) 758-1399
Mailing address
33 WILDFERN DR, YOUNGSTOWN, OH 44505-1661
(330) 759-2048

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3504815113
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0631169
OH
Enumeration date
10/31/2005
Last updated
05/22/2008
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