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Individual

DR. FRED BUSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
246 ELIOT ST, CHESTNUT HILL, MA 02467-1447
(617) 232-5674
Mailing address
246 ELIOT ST, CHESTNUT HILL, MA 02467-1447
(617) 232-5674

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7649
MA

Other

Enumeration date
05/31/2012
Last updated
05/31/2012
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