Individual
DR. MICHAEL BULETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1872 ST LUKES BLVD, EASTON, PA 18045-5669
(484) 503-1200
Mailing address
1872 ST LUKES BLVD, EASTON, PA 18045-5669
(484) 503-1200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD073461L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018579500001
—
PA
01
—
930110562
RAILROAD MEDICARE
PA
01
—
BU1330380
BLUE SHIELD
PA
Enumeration date
06/09/2006
Last updated
10/08/2025
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