Individual
THOMAS M BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 ORCHARD ST, SUITE 164, NEW HAVEN, CT 06511-4417
(203) 785-2815
(203) 785-4043
Mailing address
789 HOWARD AVE # FMP305, PO BOX 208058, NEW HAVEN, CT 06519-1304
(203) 785-5339
(203) 785-4043
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
029419
CT
Other
Enumeration date
07/17/2006
Last updated
12/27/2015
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