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Individual
JOHN BUSQUE
Active
Individual
JOHN BUSQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64903
NY
225100000X
Physical Therapist
011464
CT
225100000X
Physical Therapist
044346
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011464
CT LICENSE
CT
01
—
044346
NY LICENSE
NY
Enumeration date
08/11/2017
Last updated
01/03/2025
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