Individual
GREGORY H. BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1561 ROUTE 38, SUITE 6, LUMBERTON, NJ 08048-2939
(609) 267-2100
(609) 267-6921
Mailing address
5 EVES DR, SUITE 120 A, MARLTON, NJ 08053-3135
(856) 355-0340
(856) 355-0346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08068700
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25MB08068700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001943718
—
NJ
Enumeration date
08/04/2005
Last updated
03/25/2014
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