Individual
LOUIS V BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 442-0073
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 442-0073
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
020170
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012170CL
BLUE CARE FAMILY PLAN
—
01
—
20170CT01
ANTHEM BLUE CROSS
—
01
—
30503
HEALTHNET
—
05
—
4024972
—
CT
05
—
4041679
—
CT
01
—
75621
CONNECTICARE
—
01
—
NLS127
OXFORD
—
Enumeration date
08/08/2006
Last updated
07/09/2007
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