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Individual

AULIO ELIAS BUSTOS HEMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3364
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-5042

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12620500
NJ
207R00000X
Internal Medicine Physician
MD24129
ME

Other

Enumeration date
07/07/2016
Last updated
06/10/2025
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