Individual
JONATHAN Y BUCKWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(978) 687-0151
(617) 277-1403
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 562-5359
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
71982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120431
—
MA
Enumeration date
06/05/2006
Last updated
08/17/2015
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