Individual provider · NPI-1
Patrick S Buckley, MD
Orthopaedic Surgery · Wall Township, NJ
NPI number1427315969
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1427315969
- Entity type
- Individual (NPI-1)
- Name
- Patrick S Buckley
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2012
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 25MA10419700 | NJ | Yes |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 25MA10419700 | NJ |
Practice location
4810 Belmar BlvdWall Township, NJ 07753-6952
Phone 732-938-6090 · Fax 732-938-5680
Mailing address
2 Worlds Fair DrSomerset, NJ 08873-1369
Phone 732-537-0909 · Fax 732-564-9032
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