Individual
NIRMA D BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8070
Mailing address
2500 RICHMOND AVE, EL PASO, TX 79930-1718
(915) 726-0666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
251934
MA
207P00000X
Emergency Medicine Physician
U4161
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2012
Last updated
01/17/2024
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