Individual
DIANA M BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 FRANKLIN CORNER RD STE 216, LAWRENCEVILLE, NJ 08648-2526
(609) 815-7270
(609) 815-7271
Mailing address
123 FRANKLIN CORNER RD, STE 216, LAWRENCEVILLE, NJ 08648-2526
(609) 815-7270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09738100
NJ
207Q00000X
Family Medicine Physician
MD449604
PA
Other
Enumeration date
05/21/2010
Last updated
04/26/2021
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