Individual
NANCY P BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
(215) 342-7710
(215) 918-5776
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-3750
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD042302E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1298594
—
PA
Enumeration date
09/16/2005
Last updated
03/02/2020
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