Individual
DR. PAUL MARTIN BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD MD
Contact information
Practice address
100 BLOSSOM ST, COX LL, BOSTON, MA 02114-2617
(617) 724-1548
(617) 724-8334
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-1548
(617) 724-8334
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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