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DR. MARIANO BUSSO M.D., P.A.
Procedural Dermatology >> Dermatology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1346229978
Individual Registrant:DR. MARIANO BUSSO M.D., P.A.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3006 AVIATION AVE SUITE 2C COCONUT GROVE, FL 33133-3863 US
Tel: 305-857-0144 Fax: --
Tel: 305-857-0144 Fax: --
Contact information for business:
3006 AVIATION AVE SUITE 2C COCONUT GROVE, FL 33133-3863 US
Tel: 305-857-0144 Fax: --
Tel: 305-857-0144 Fax: --
Registration Information:
NPI: 1346229978
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207NS0135X | Allopathic & Osteopathic Physicians Dermatology Procedural Dermatology | FL | ME0065566 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 376308100 | FL | 05 |
