Individual provider · Type 1 NPI

Richard A. Buckberg, PA

Medical Physician Assistant · Hartford, CT

NPI number 1790763050 Active

Practice location

114 Woodland St, Cardiology
Hartford, CT 06105-1208

Call (860) 714-4202 Map

Mailing address

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA-638 (ME)
Medical Physician Assistant Primary 363AM0700X2956 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1790763050

Richard A. Buckberg, PA's National Provider Identifier is 1790763050, issued on Jan 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Oct 20, 2021.