Individual
SHARON SPAETH BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 FRANCIS ST, SUITE 9F, BOSTON, MA 02215-5501
(617) 632-9835
Mailing address
11 FAYERWEATHER ST, CAMBRIDGE, MA 02138-3329
(617) 632-9835
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
54142
MA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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