Individual
DR. LENORE M BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 HOWARD ST., YPB 3RD FLOOR, NEW HAVEN, CT 06519-1612
(203) 737-5430
(203) 785-7053
Mailing address
300 CEDAR ST, TAC S517, NEW HAVEN, CT 06519-1612
(203) 737-5430
(203) 785-7053
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
0101049859
VA
207RR0500X
Rheumatology Physician
Primary
050826
CT
2080P0216X
Pediatric Rheumatology Physician
050826
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006003893 541581185
—
VA
Enumeration date
10/12/2006
Last updated
06/06/2012
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