Individual
MS. ELLEN LANE BUSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-5800
Mailing address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-5800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4298
MA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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