Individual
DR. ERIC JASON BUCHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
(401) 782-6810
Mailing address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
(401) 782-6810
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DPM00302
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000021254
GENERIC4
—
01
—
0000031650
BCBS
RI
01
—
11092609
CAQH#
RI
01
—
204928511
UNITED HEALTH CARE
PR
01
—
2382382
GENERIC3
—
01
—
3916940001
GENERIC6
—
01
—
4024
NEIGHBORHOOD HEALTH RI
RI
01
—
407225
BLUE CHIP
RI
01
—
407225
BLUE CHIP GROUP #
—
01
—
432037955
MED EX GROUP #
—
01
—
480034977
GENERIC7
—
01
—
5095486002
CIGNA
—
05
—
7009003
—
RI
01
—
AA69503
HARVARD PILGRIM
RI
01
—
AETNA COM 7342159
AETNA HMO 1359024
RI
01
—
PT SSN#
TRI CARE
RI
01
—
SSN#-TAX ID# 2049285
RAILROAD MEDICARE
RI
01
—
ZDZ388
MED EX
—
Enumeration date
04/12/2006
Last updated
03/20/2018
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