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Individual

CHARLES T. BUZANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
133 BROOKLINE AVE FL 9, BOSTON, MA 02215-3904
(617) 421-1091
(617) 421-2555
Mailing address
133 BROOKLINE AVE FL 9, BOSTON, MA 02215-3904
(617) 421-1091
(617) 421-2555

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
79160
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0015305
NEIGHBORHOOD HEALTH PLAN
MA
01
079160
TUFTS HEALTH PLAN
MA
05
3192512
MA
01
4569412-002
CIGNA
MA
01
J30911
BLUE CROSS
MA
01
V515
HARVARD PILGRIM
MA
Enumeration date
08/30/2006
Last updated
02/02/2021
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