DANIEL A BUZARD


Address: 211 Mount Vernon St, West Roxbury, MA 02132-2825
Phone: 6178165451

DANIEL A BUZARD (NPI# 1376525576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376525576
Entity Type Individual
Full Name DANIEL A BUZARD
Credential NP
Practice Address 211 Mount Vernon St
West Roxbury
MA 02132-2825
Practice Telephone 6178165451
Mailing Telephone 6178165451
Enumeration Date 2005-11-15
Last Update Date 2009-12-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
193025 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 1200992 05

Office Location

Street Address 211 MOUNT VERNON ST
City WEST ROXBURY
State MA
Zip Code 02132-2825

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City WEST ROXBURY
Zip Code 02132

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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