Healthcare Provider Details

I. General information

NPI: 1043044399
Provider Name (Legal Business Name): BUCKINGHAM PSYCHIATRY PC & JACOB BUINEWICZ, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 ROUTE 202 STE 225
DOYLESTOWN PA
18902-6600
US

IV. Provider business mailing address

3655 ROUTE 202 STE 225
DOYLESTOWN PA
18902-6600
US

V. Phone/Fax

Practice location:
  • Phone: 484-466-5560
  • Fax: 802-277-7332
Mailing address:
  • Phone: 484-466-5560
  • Fax: 802-277-7332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JACOB DILLON BUINEWICZ
Title or Position: PRESIDENT
Credential: MD
Phone: 484-466-5560