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NPI Code Detail

MEDICARE: DR. NICHOLAS A BUCKWALTER MD

MEDICARE: DR. NICHOLAS A BUCKWALTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD450204PA
2207V00000XObstetrics & Gynecology PhysicianMD450204PA

General Provider Information

NPI Number : 1093009995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS A BUCKWALTER MD
Provider Business Mailing Address
First Line : 3421 CONCORD RD
Second Line :
City : YORK
State : PA
Zip : 17402-9001
Country : US
Telephone Number : 717-721-4860
Fax Number : 717-664-5028
Provider Business Practice Location Address
First Line : 107 W END DR
Second Line :
City : MANHEIM
State : PA
Zip : 17545-9320
Country : US
Telephone Number : 717-721-4860
Fax Number : 717-664-5028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2011
Last Update Date : 06/10/2016

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Directions to “ DR. NICHOLAS A BUCKWALTER MD” Practice Location

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