Individual
DR. JUDITH BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-2803
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
(860) 545-2803
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
023574
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001235746
—
CT
Enumeration date
03/23/2006
Last updated
06/27/2008
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