Individual
DR. LAURENCE U BUXBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-6030
Mailing address
3900 WOODLAND AVE, RES 151, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-6030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD062880L
PA
207RI0200X
Infectious Disease Physician
Primary
MD062880L
PA
Other
Enumeration date
08/12/2006
Last updated
07/21/2022
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