Individual
EDWARD STEPHEN BUESCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 W BRAMBLETON AVE, NORFOLK, VA 23510-1005
(757) 668-6464
(757) 668-6476
Mailing address
3936 REGAL CT, VIRGINIA BEACH, VA 23452-3839
(757) 463-6090
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
0101048487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6753841
VIRGINIA PROVIDER #
VA
Enumeration date
06/16/2005
Last updated
07/08/2007
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