Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MAO48051 | NJ |
NPI | 1174575369 |
---|---|
Provider Name | Dr. Edward Daniel Buch |
First Address | Hillsborough, NJ 08844 |
Second Address | Hillsborough, NJ 08844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 14/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0322504 | (05) | NJ |
E13287 | (02) |