Busono, Stephanus
Busono, Stephanus is an sole proprietor health care provider with primary practice located at 77 Veronica Ave Ste 102 , Somerset NJ 08873-6804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Busono, Stephanus can be contacted via phone (732) 246-1311.Contact Information
Primary practice address
77 Veronica Ave Ste 102
Somerset NJ 08873-6804
Phone: (732) 246-1311
Fax: (732) 214-9657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MA069235 | New Jersey |
Profile Details
| NPI number | 1306888953 |
|---|---|
| LBN Legal business name | Busono, Stephanus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Dec 3rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306888953 | NPPES |
| New Jersey | Other | 2342811 | AETNA |
| New Jersey | Other | P1626374 | AETNA |
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