Individual
JOHN J BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
123 SUMMER ST, 7350, WORCESTER, MA 01608-1216
(508) 363-6849
Mailing address
123 SUMMER ST, 7350, WORCESTER, MA 01608-1216
(508) 363-6849
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA6005
MA
Other
Enumeration date
11/23/2016
Last updated
10/08/2019
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