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1215997697
MARK JAY BUCKSBAUM
RUTLAND, VT
NPI
1215997697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: VT 0420007956)
Enumeration Date
2006-03-28
Last Update Date
2019-10-23
Business Address
MARK JAY BUCKSBAUM MD
69 ALLEN ST STE 9
RUTLAND, VT 05701-4564
Phone number: 417-875-3000
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Mailing Address
MARK JAY BUCKSBAUM MD
69 ALLEN ST STE 9
RUTLAND, VT 05701-4564
Phone number: 417-875-3000
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