Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35.128710 | OH |
NPI | 1013250133 |
---|---|
Provider Name | Jonathan Buggey |
First Address | Akron, OH 44304-1473 |
Second Address | Akron, OH 44304-1473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 10/06/2021 |