Individual
JANE BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4229
(860) 696-2400
(860) 696-2410
Mailing address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4229
(860) 696-2400
(860) 696-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030179
CT
207RI0200X
Infectious Disease Physician
030179
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030179
CT LICENSE
CT
01
—
1376526988
NPI
—
Enumeration date
11/29/2005
Last updated
07/24/2013
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