Individual
DAVID J BUZANOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7060
(207) 662-7066
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD20608
ME
208000000X
Pediatrics Physician
Primary
MD20608
ME
Other
Enumeration date
06/23/2011
Last updated
05/04/2015
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