Individual
JOHN WILLIAM BUCKLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5220 LONG GREEN RD, GLEN ARM, MD 21057-9716
(410) 592-5955
Mailing address
5220 LONG GREEN RD, GLEN ARM, MD 21057-9716
(410) 592-5955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0013364
MD
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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