Individual
ARSENIO M BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 FOUNDERS PLZ, SUITE 300, EAST HARTFORD, CT 06108-3212
(860) 545-2117
Mailing address
111 FOUNDERS PLZ, SUITE 300, EAST HARTFORD, CT 06108-3212
(860) 545-2117
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
040011
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001400118
—
CT
Enumeration date
11/22/2005
Last updated
07/08/2007
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