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Individual

ANTHONY LOUIS BUSCAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5430 MAIN ST, WILLIAMSVILLE, NY 14221-6648
(716) 204-0707
Mailing address
1204 MAJESTIC WOODS DR, GRAND ISLAND, NY 14072-1174
(716) 430-0094

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036105905
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02208506
NY
Enumeration date
12/19/2006
Last updated
05/03/2019
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