Individual
JAQUELINE BUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
GAYLORD FARMS RD., WALLINGFORD, CT 06492
(203) 284-2800
(203) 679-3598
Mailing address
GAYLORD FARMS RD., PO BOX 400, WALLINGFORD, CT 06492
(203) 284-2800
(203) 679-3598
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
024312
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1243120
—
CT
Enumeration date
11/09/2005
Last updated
10/26/2007
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