Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN H. BUCKNER, MD
Active Sole ProprietorPediatrics · PROVIDENCE, RI
Registration Details
- NPI Number
- 1790101525
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2014 (12.155435969066 yrs)
- Last Updated
- Dec 14, 2023
- Licenses
-
48331 (TN)MD15043 (RI)258441 (MA)H4194 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
355 PRAIRIE AVEPROVIDENCE, RI, 029051928Browse RI providers · Browse ZIP 02905
- Phone
- 4014440570
- Fax
- 4014440427
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| DR. CHANDAN LAKHIANI | MD | 1235134495 |
| JUDITH BLAZAR WESTRICK | M.D. | 1598761264 |
| DR. ELLEN LEE GURNEY | MD | 1154314748 |
| LONICE M. THOMAS | MD | 1114909017 |
| BORIS SKURKOVICH | MD | 1558343467 |
| DR. ROBERT T BURKE | MD | 1699758623 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.