Organization
TAMY B. BUCKEL, M.D., P.A.
Active
Other names
Shore Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMY B BUCKEL M.D. (OWNER/PHYSICIAN)
(410) 778-0003
Entity
Organization
Contact information
Practice address
250 HAACKE DR, CHESTERTOWN, MD 21620-1193
(410) 778-0003
Mailing address
250 HAACKE DRIVE, CHESTERTOWN, MD 21620-3322
(410) 778-0003
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0064239
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467406553
MY INDIVIDUAL NPI #
MD
Enumeration date
07/28/2006
Last updated
01/28/2025
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