Provider Demographics
NPI:1609968734
Name:BUCH, ALBERT WALDEMAR (DO)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:WALDEMAR
Last Name:BUCH
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:100 DEBARTOLO PL STE 200
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6095
Mailing Address - Country:US
Mailing Address - Phone:330-729-8146
Mailing Address - Fax:330-965-5229
Practice Address - Street 1:225 E STATE ROUTE 14 STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-8490
Practice Address - Country:US
Practice Address - Phone:234-287-6533
Practice Address - Fax:330-932-2787
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.006382207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0250508Medicaid
OH0250508Medicaid
OHBU4108651Medicare PIN
G29045Medicare UPIN