Individual
NATHANIEL ROBERT BUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
60 WEST ST, GENEVA, OH 44041-9723
(440) 491-0155
Mailing address
1619 SQUAW CT, GIRARD, OH 44420-3632
(330) 219-0519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005787RX
OH
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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