Individual
MARY BUECHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 306-6300
(781) 306-6312
Mailing address
36 ELM ST, GEORGETOWN, MA 01833-2516
(978) 352-2126
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36625
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134210
—
MA
Enumeration date
08/31/2006
Last updated
07/08/2007
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