Mary M. Busto APN

NPI 1093193112 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1093193112
Gender Female
Enumeration Date 05/08/2015
Last Updated 05/08/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
634 WYCKOFF AVE
MAHWAH NJ, 07430-3031, US
Phone (862) 228-0402
Fax
Business Location
634 WYCKOFF AVE
MAHWAH NJ, 07430-3031, US
Phone (862) 226-0402
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State New Jersey
License Number 26NJ00564500
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According to our database, Mary M. Busto APN NPI is 1093193112, taxonomy code is 363LA2200X and license number is 26NJ00564500, license state is located at New Jersey. Mary M. Busto APN physically located at 634 Wyckoff Ave, Mahwah NJ, 07430-3031. NPI Number Mary M. Busto APN has the Individual type.

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1093193112 NPI number is provided on an as is basis without warranty of any kind. 1093193112 is maintained by the National Plan & Provider Enumeration System. The contents of Mary M. Busto APN are for informational purposes only.