Individual
PHILIP CLAY BUESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-5466
(410) 494-1662
(410) 494-1718
Mailing address
501 FAIRMOUNT AVENUE, SUITE 103, TOWSON, MD 21286
(410) 494-7921
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D29565
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329271100
—
MD
01
—
K531149R
MEDICARE ID
MD
Enumeration date
05/03/2006
Last updated
06/23/2017
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