Individual
FRANK A BUCCI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
158 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6704
(570) 825-5949
(570) 825-2645
Mailing address
158 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6704
(570) 825-5949
(570) 825-2645
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD046074L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012704590003
—
PA
01
—
763806
BLUE SHIELD
PA
Enumeration date
11/21/2005
Last updated
07/08/2007
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