Individual
PATRICIA R BUSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23 N WALNUT ST, BOYERTOWN, PA 19512
(610) 367-2259
(610) 367-0505
Mailing address
1601 MEDICAL DR, POTTSTOWN, PA 19464-3241
(610) 327-4200
(610) 327-8160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002246
PA
363AM0700X
Medical Physician Assistant
Primary
MA053279
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA053279
PHYSICIAN ASSISTANT LIC
PA
Enumeration date
12/11/2007
Last updated
12/17/2019
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