David J Buzanoski, MD Valid NPI
Individual provider · Pediatrics Physician · Portland, ME
- NPI
- 1194011668
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- MD20608 (ME)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-06-23
- Last updated
- 2015-05-04
Practice location
22 Bramhall St
Portland, ME 04102-3134
(207) 662-7060