Organization
NICOLE BUCKLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BUCKLEY (OWNER)
(860) 327-5431
Entity
Organization
Contact information
Practice address
988 NEW LONDON TPKE STE 102, GLASTONBURY, CT 06033-5312
(860) 327-5431
Mailing address
988 NEW LONDON TPKE STE 102, GLASTONBURY, CT 06033-5312
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
04/08/2021
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