Provider Demographics
NPI:1235262429
Name:BUCHIERI, PHILLIP PAUL II (PT)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:PAUL
Last Name:BUCHIERI
Suffix:II
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:PHILLIP
Other - Middle Name:PAUL
Other - Last Name:BUCHIERI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:23 BURBANK LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01523-2549
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 GROTON RD
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1171
Practice Address - Country:US
Practice Address - Phone:978-772-1704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA10005OtherMA PHYSICAL THERAPY LIC.