Individual
CARLY PAIGE BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-7317
Mailing address
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
008024
AZ
207P00000X
Emergency Medicine Physician
Primary
A223019
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
09/29/2021
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