Jacob Salpeter Buckley

NPI #1104568344 in Malden, Massachusetts

Provider Information

NPI Number: 1104568344
Entity Type: Individual
Name: Jacob Salpeter Buckley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 8, 2022
Last Updated: Apr 8, 2022

Practice Location

Address: 195 CANAL ST
City: Malden
State: Massachusetts
ZIP Code: 02148-6701
Phone: (781) 338-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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