Stephanus Busono is a Neurology in Somerset, New Jersey. Stephanus Busono practices all healthcare services and medical treatments related to Neurology. The NPI Number for Stephanus Busono is 1306888953. The last update date is 2018-12-03.
Stephanus Busono's current location address is 77 Veronica Ave Ste 102, Somerset, New Jersey. You can contact this provider via phone number 7322461311 and fax number 7322149657. The mailing address for Stephanus Busono is 77 Veronica Ave Ste 102, Somerset, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanus Busono |
|---|---|
| Address | 77 Veronica Ave Ste 102, Somerset, New Jersey |
| Phone Number | 7322461311 |
| Fax Number | 7322149657 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306888953 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2018-12-03 |
Provider Mailing Address Detail
| Address | 77 Veronica Ave Ste 102 |
|---|---|
| City | Somerset |
| State | New Jersey (NJ) |
| Post Code | 88736804 |
| Phone Number | 7322461311 |
| Fax Number | 7322149657 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | MA069235 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2342811 | NJ | AETNA | |
| P1626374 | NJ | OXFORD |
Post Comment/ Review Below
What is the Stephanus Busono's 1306888953?
The Stephanus Busono's NPI (National Provider Identifier) Number is 1306888953. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stephanus Busono's facilities are situated?
The facilities of Stephanus Busono are physically located at the following address: 77 Veronica Ave Ste 102, Somerset, NJ, 88736804.
What is the area of specialization for Stephanus Busono, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephanus Busono is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0400X.
On what date did the Stephanus Busono receive its 1306888953 assignment from the Centers for Medicare & Medicaid Services?
The Stephanus Busono was assigned its 1306888953 by the Centers for Medicare & Medicaid Services on 2006-06-11.
When was the information regarding Stephanus Busono most recently updated?
The details pertaining to the Stephanus Busono, including its address, specialty, and other relevant information, were last refreshed on 2018-12-03.