Individual
MS. AMY M BUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1015 CHESTNUT ST, SUITE 821, PHILADELPHIA, PA 19107-4316
(215) 922-1801
(215) 922-1806
Mailing address
1015 CHESTNUT ST, SUITE 821, PHILADELPHIA, PA 19107-4316
(215) 922-1801
(215) 922-1806
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051630
PA
Other
Enumeration date
06/05/2006
Last updated
02/05/2009
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