Individual
DR. BRANDON CHARLES BUSUITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3909 WOODWARD AVE APT 302, DETROIT, MI 48201-2088
(248) 425-3973
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(248) 425-3973
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
281675
MA
207P00000X
Emergency Medicine Physician
56115
TN
Other
Enumeration date
04/02/2014
Last updated
07/21/2022
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