Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Salpeter Buckley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104568344

Jacob Salpeter Buckley is a Student in an Organized Health Care Education/Training Program in Malden, Massachusetts. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

195 Canal St
Malden, MA 02148-6701
Phone: (781) 338-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104568344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022
Mailing address195 Canal St, Malden, MA 02148-6701

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