Individual
ELIZABETH D BUCKLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HOPPIN ST, 3RD FLOOR, PROVIDENCE, RI 02903-4141
(401) 793-8400
(401) 793-8402
Mailing address
1 HOPPIN ST, 3RD FLOOR, PROVIDENCE, RI 02903-4141
(401) 793-8400
(401) 793-8402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA000016
RI
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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