Individual
MICHAEL BUXBAUM
Active
Individual
MICHAEL BUXBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD039175L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000991520006
—
PA
01
—
0040523000
KEYSTONE
PA
01
—
104436
BLUE SHIELD
PA
Enumeration date
02/28/2006
Last updated
11/20/2008
Update your record
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