Individual
JO BUYSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 2 DULLES, PHILADELPHIA, PA 19104
(215) 662-7320
Mailing address
3400 SPRUCE STREET, 5 MALONEY, PHILADELPHIA, PA 19104
(215) 662-7320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD059987L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016037610006
—
PA
Enumeration date
06/23/2006
Last updated
11/06/2019
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