MEDICARE: FAMILY MEDICINE PARTNERSHIP, PC

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
1	363LF0000X	Family Nurse Practitioner
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306995725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MEDICINE PARTNERSHIP, PC

Provider Business Mailing Address
First Line	:	921 BOSTON TURNPIKE
Second Line	:	P O. BOX 9547
City	:	BOLTON
State	:	CT
Zip	:	06043
Country	:	US
Telephone Number	:	860-646-0649
Fax Number	:	860-649-9195

Provider Business Practice Location Address
First Line	:	921 BOSTON TURNPIKE
Second Line	:
City	:	BOLTON
State	:	CT
Zip	:	06043
Country	:	US
Telephone Number	:	860-646-0649
Fax Number	:	860-649-9195

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RONALD L BUCKMAN
Credential	:	MD
Telephone Number	:	860-646-0649

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	01/25/2013

Similar Medicare Providers

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Practice Location Address:

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Practice Location Address:

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1992888531 — BRUCE ALAN LANGEVIN
Practice Location Address:

921 BOSTON TURNPIKE
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06043

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1881748739 — GINGER M POLLACK DMD PC
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1427194539 — BOLTON BOARD OF EDUCATION
Practice Location Address:

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