Individual
LUCY P. BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6793
Mailing address
PO BOX 845628, BOSTON, MA 02284-5628
(603) 893-9784
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34323
MA
2080P0202X
Pediatric Cardiology Physician
MD06273
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025957
—
MA
05
—
30004828
—
NH
05
—
LB04124
—
RI
Enumeration date
02/16/2006
Last updated
12/10/2009
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