NPI 1114918133

John Joseph Buckley, MD

Practitioner Specialist Boardman, OH

Practice location

Address: 935 Trailwood Dr, Boardman, OH 44512-5062
Phone: (330) 758-8146
Fax: (330) 758-1399
Mailing address: 33 Wildfern Dr, Youngstown, OH 44505-1661

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 3504815113 (OH)

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Registry record

NPI: 1114918133
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2005
Record last updated: 22 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.