Individual
DR. BRIAN D BUSCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
281 LINCOLN ST, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 01605-2138
(508) 334-6606
(508) 334-5156
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
77978
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
77978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110055247A
—
MA
Enumeration date
12/01/2005
Last updated
10/27/2020
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