Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | MC05472 | NJ |
NPI | 1235288820 |
---|---|
Provider Name | Dr. Peter C Bufano |
First Address | Matawan, NJ 07747 |
Second Address | Matawan, NJ 07747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |