Individual
ANTHONY JOSEPH BUSSOLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 324-4202
Mailing address
2008 MINERAL SPRING AVE APT 5, NORTH PROVIDENCE, RI 02911-1800
(413) 663-4193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2017
Last updated
06/11/2017
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