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Individual

DR. EDWARD JAMES BUSICK JR.

Active
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Individual

DR. EDWARD JAMES BUSICK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40958
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
40958
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2052334
MA
01
M09465
BLUE CROSS/BLUE SHIELD
Enumeration date
11/30/2005
Last updated
02/22/2012
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