Buckley, Michael Kevin

Buckley, Michael Kevin is an individual health care provider with primary practice located at 1100 Clifton Ave , Clifton NJ 07013-3631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Buckley, Michael Kevin can be contacted via phone (973) 778-0100.

Contact Information

Primary practice address
1100 Clifton Ave Clifton NJ 07013-3631
Phone: (973) 778-0100
Fax: (973) 778-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MA44323 New Jersey

Profile Details

NPI number 1891727350
LBN Legal business name Buckley, Michael Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
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 1891727350 NPPES
New Jersey MEDICAID 3694305

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