Individual
SCOTT BUSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1050 SE MONTEREY RD STE 400, STUART, FL 34994-4512
(772) 288-2400
Mailing address
60 OLD NEW MILFORD RD STE 3E, BROOKFIELD, CT 06804-2414
(203) 775-6205
(203) 775-2373
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2964
CT
363AS0400X
Surgical Physician Assistant
PA9114250
FL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
04/01/2021
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