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Search › Rhode Island › 208000000X

Susan Buckner, MD

NPI 1790101525 · on the registry since 2014 · sole proprietor

Practice

Address
355 Prairie Ave
Providence, RI 02905
Phone
(401) 444-0570
Fax
(401) 444-0427
Organisation at this address
The Providence Community Health Centers, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
66

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
208000000X
208000000X
Licence states on file
TN, RI, MA, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island