Individual
JOHN BUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
(401) 453-7597
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
(401) 453-7597
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
MD12322
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131913906
—
TX
Enumeration date
10/17/2006
Last updated
08/18/2011
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