Organization
FAMILY MEDICINE PARTNERSHIP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L BUCKMAN MD (PRESIDENT)
(860) 646-0649
Entity
Organization
Contact information
Practice address
921 BOSTON TURNPIKE, BOLTON, CT 06043
(860) 646-0649
(860) 649-9195
Mailing address
921 BOSTON TURNPIKE, P O. BOX 9547, BOLTON, CT 06043
(860) 646-0649
(860) 649-9195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004199825
—
CT
Enumeration date
01/09/2007
Last updated
01/25/2013
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