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Individual
DR. PAUL MARTIN BUSSE
Active
Individual
DR. PAUL MARTIN BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
55649
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3039323
—
MA
01
—
733294
TUFTS HEALTH PLAN
MA
01
—
J07816
BCBS MA
MA
Enumeration date
02/14/2006
Last updated
04/19/2016
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