Doctor Name: | DEVON BUCK |
NPI Number: | 1003264292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NR12701100 |
Business Practice Address: | 320 Route 73 Voorhees, NJ - 080439654 |
Business Phone Number: | 8563354118 |
Business Fax Number: | 8568092594 |
Mailing Address: | 320 Route 73, VOORHEES |
State: | NJ |
Postal Code: | 080439654 |
Phone Number: | 8563354118 |
Fax Number: | 8568092594 |
NPI Enumeration Date: | 05/27/2016 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 26NR12701100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |