Individual
LOUIS PHILIP BUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W MONTGOMERY AVE, ARDMORE, PA 19003-1416
(610) 649-2433
(215) 829-6327
Mailing address
200 W MONTGOMERY AVE, ARDMORE, PA 19003-1416
(610) 649-2433
(215) 829-6327
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD056328L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015400260004
—
PA
Enumeration date
07/07/2006
Last updated
09/27/2019
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