# EDUARDO ALEJANDRO BUSTAMANTE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154711513
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 83664-20 | WI | Yes |
| 207W00000X | Ophthalmology Physician | ME144452 | FL | — |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 06/21/2024