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Jacob Salpeter Buckley
Student in an Organized Health Care Education/Training Program in Malden, Massachusetts
NPI 1104568344

Jacob Salpeter Buckley is a Student in an Organized Health Care Education/Training Program based in Malden, MA. Jacob Salpeter Buckley practices in Malden, MA. The NPI Number for Jacob Salpeter Buckley is 1104568344 and holds a License No. (Massachusetts).

The current practice location address for Jacob Salpeter Buckley is 195 Canal St, Malden, MA and can be reached out via phone at 781-338-0500.

Location: 195 Canal St, Malden, MA, 02148-6701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104568344
Provider Name
Jacob Salpeter Buckley
Credential
Provider Entity Type
Individual
Gender
Male
Address
195 Canal St, Malden, MA, 02148-6701
Phone Number
781-338-0500
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
195 Canal St
City
Malden
State
Massachusetts
Zip
02148-6701
Phone Number
781-338-0500
Fax Number
person
Provider Business Mailing Address Details
Address
195 Canal St
City
Malden
State
Massachusetts
Zip
02148-6701
Phone Number
781-338-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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