Individual
DR. ADAM BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8181
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8181
(802) 847-5294
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
218674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02108029
—
NY
01
—
715C32
EMPIRE BC.BS
NY
01
—
7968147
AETNA
NY
Enumeration date
06/27/2006
Last updated
12/12/2013
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