Buckley, Denise Grace

Buckley, Denise Grace is an individual health care provider with primary practice located at 881 Commonwealth Ave , Boston MA 02215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / School, which is considered as her primary health care specialty. Buckley, Denise Grace can be contacted via phone (617) 353-3575.

Contact Information

Primary practice address
881 Commonwealth Ave Boston MA 02215
Phone: (617) 353-3575
Fax: (617) 353-3557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 77026 Massachusetts

Profile Details

NPI number 1174744742
LBN Legal business name Buckley, Denise Grace
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174744742 NPPES
Massachusetts Other 77026 STATE LISC.

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