person
Stephanus Busono, MD
Neurology Physician in Somerset, New Jersey
NPI 1306888953

Stephanus Busono is a Neurology Physician based in Somerset, NJ and is specialized in Neurology. Stephanus Busono practices in Somerset, NJ and has the professional credentials of MD. The NPI Number for Stephanus Busono is 1306888953 and holds a License No. MA069235 (New Jersey).

The current practice location address for Stephanus Busono is 77 Veronica Ave Ste 102, Somerset, NJ and can be reached out via phone at 732-246-1311 and via fax at 732-214-9657. You can also correspond with Stephanus Busono through the mailing address at 77 VERONICA AVE STE 102, SOMERSET, NJ - 08873-6804 (mailing address contact number: 732-246-1311).

Location: 77 Veronica Ave Ste 102, Somerset, NJ, 08873-6804
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Provider Profile Details
NPI Number
1306888953
Provider Name
Stephanus Busono
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
77 Veronica Ave Ste 102, Somerset, NJ, 08873-6804
Phone Number
732-246-1311
Fax Number
732-214-9657
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2342811 01 NJ AETNA
P1626374 01 NJ OXFORD
institution
Provider Business Practice Location Address Details
Address
77 Veronica Ave Ste 102
City
State
Zip
08873-6804
Phone Number
732-246-1311
Fax Number
732-214-9657
person
Provider Business Mailing Address Details
Address
77 Veronica Ave Ste 102
City
State
Zip
08873-6804
Phone Number
732-246-1311
Fax Number
732-214-9657
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
MA069235 (New Jersey)
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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