Organization
BENJAMIN BUSFIELD MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BUSFIELD MD (PRESIDENT)
(415) 310-7634
Entity
Organization
Contact information
Practice address
2350 COUNTRY HILLS DR STE B, ANTIOCH, CA 94509-7436
(415) 310-7634
Mailing address
3527 MT DIABLO BLVD STE 449, LAFAYETTE, CA 94549-3815
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A82241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A7270554
DRIVER'S LICENSE
CA
Enumeration date
01/03/2018
Last updated
01/03/2018
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