Buzanis, Charles T.

Buzanis, Charles T. is an individual health care provider with primary practice located at 133 Brookline Ave Fl 9 , Boston MA 02215-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Buzanis, Charles T. can be contacted via phone (617) 421-1091.

Contact Information

Primary practice address
133 Brookline Ave Fl 9 Boston MA 02215-3904
Phone: (617) 421-1091
Fax: (617) 421-2555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 79160 Massachusetts

Profile Details

NPI number 1487764965
LBN Legal business name Buzanis, Charles T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487764965 NPPES
Massachusetts Other J30911 BLUE CROSS
Massachusetts Other 079160 BLUE CROSS
Massachusetts Other 4569412-002 BLUE CROSS
Massachusetts MEDICAID 3192512 BLUE CROSS
Massachusetts Other V515 BLUE CROSS
Massachusetts Other 0015305 BLUE CROSS

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