Individual
MISS ALEXSANDRA NOELLE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1 WOODBRIDGE CENTER 211, JEWELRY EXCHANGE BUILDING, WOODBRIDGE, NJ 07095
(732) 636-2645
(732) 636-1043
Mailing address
1885 LAKE AVE, SCOTCH PLAINS, NJ 07076-2919
(908) 654-9621
(732) 636-2645
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
527
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2355758
AETNA PROVIDER NUMBER
NJ
Enumeration date
04/17/2007
Last updated
07/08/2007
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