NPI Search for Physicians and Health Care Providers
DR. RONALD L BUCKMAN M.D.
Sports Medicine >> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1871561092
Individual Registrant:
DR. RONALD L BUCKMAN M.D.
Gender: M
Sole Proprietor
Location and contact information for practice:
921 BOSTON TPKE BOLTON, CT 06043-7403 US
Tel: 860-646-0649 Fax: 860-649-9195
Contact information for business:
921 BOSTON TPKE BOLTON, CT 06043-7403 US
Tel: 860-646-0649 Fax: 860-649-9195
Registration Information:
NPI: 1871561092
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207QS0010X | Allopathic & Osteopathic Physicians Family Medicine Sports Medicine | CT | 022901 |
N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CT | 022901 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
LICENSE | 022901 | CT | 01 |
| 001229012 | CT | 05 |
HEALTH CARE JOBS CT - Page 1