Busse, Paul Martin

Busse, Paul Martin is an individual health care provider with primary practice located at 100 Blossom St Cox Ll, Boston MA 02114-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Therapeutic Radiology, which is considered as his primary health care specialty. Busse, Paul Martin can be contacted via phone (617) 724-1548.

Contact Information

Primary practice address
100 Blossom St Cox Ll Boston MA 02114-2617
Phone: (617) 724-1548
Fax: (617) 724-8334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X 55649 Massachusetts

Profile Details

NPI number 1073587291
LBN Legal business name Busse, Paul Martin
Credentials PHD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 19th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073587291 NPPES
Massachusetts MEDICAID 3039323
Massachusetts Other J07816
Massachusetts Other 733294

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