Peter Jerome Bustamante M.D.

NPI 1063468304 - Internal Medicine - 207R00000X

NPI Details
NPI 1063468304
Gender Male
Enumeration Date 05/26/2006
Last Updated 12/16/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
484 E CARMEL DR
SUITE 309
CARMEL IN, 46032-2812, US
Phone (317) 660-1379
Fax (317) 663-1155
Business Location
484 E CARMEL DR
SUITE 309
CARMEL IN, 46032-2812, US
Phone (317) 660-1379
Fax (317) 663-1155
Toxanomy
Taxonomy Code 207R00000X
License State Indiana
License Number 01060754A
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According to our database, Dr. Peter Jerome Bustamante M.D. NPI is 1063468304, taxonomy code is 207R00000X and license number is 01060754A, license state is located at Indiana. Peter Jerome Bustamante M.D. physically located at 484 E Carmel Dr, Carmel IN, 46032-2812. NPI Number Peter Jerome Bustamante M.D. has the Individual type.

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1063468304 NPI number is provided on an as is basis without warranty of any kind. 1063468304 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Jerome Bustamante M.D. are for informational purposes only.