Provider Demographics
NPI:1508023359
Name:BUCKLEY, ORIA (MD)
Entity Type:Individual
Prefix:MS
First Name:ORIA
Middle Name:
Last Name:BUCKLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 PALMERSTON LN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:DUBLIN
Mailing Address - Zip Code:6
Mailing Address - Country:IE
Mailing Address - Phone:3531-496-6048
Mailing Address - Fax:
Practice Address - Street 1:22 PALMERSTON LN
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:DUBLIN
Practice Address - Zip Code:6
Practice Address - Country:IE
Practice Address - Phone:3531-496-6048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235231390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program