Individual
DR. TIMOTHY J BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
415 KILLINGWORTH RD, HIGGANUM, CT 06441-4370
(860) 345-8535
(860) 345-8678
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038815
CT
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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