Individual
BRENDAN N BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 SLAPP HILL ROAD, HARDWICK, VT 05843-0535
(802) 472-3300
(802) 472-8277
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
(802) 748-4540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420007294
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002524
—
VT
Enumeration date
04/18/2006
Last updated
09/10/2010
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