Individual
MARIO BUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
318 CHRIS GAUPP DR, GALLOWAY, NJ 08205-4460
(609) 404-9900
(609) 404-3653
Mailing address
155 GLENWOOD RD, ELIZABETH, NJ 07208-1139
(908) 721-2318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013933
NY
363A00000X
Physician Assistant
Primary
25MP00424100
NJ
Other
Enumeration date
04/07/2010
Last updated
04/03/2018
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