Individual
DANIEL A BUZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
211 MOUNT VERNON ST, WEST ROXBURY, MA 02132-2825
(617) 816-5451
Mailing address
211 MOUNT VERNON ST, WEST ROXBURY, MA 02132-2825
(617) 816-5451
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
193025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200992
—
MA
Enumeration date
11/15/2005
Last updated
12/13/2009
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