Individual
PAUL BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 262-1703
Mailing address
11 THIRD HILL DR, STOCKTON SPRINGS, ME 04981-4148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
016043
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300003
—
NJ
Enumeration date
01/22/2007
Last updated
10/12/2020
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