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Contact Information

JONNATHAN M BUSKO, MD
360 BROADWAY
BANGOR, ME04401
 Phone: 207-907-1703
 Fax: 207-907-1921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JONNATHAN M BUSKO · (Male)

NPI # 1336153931
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 02/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 016863
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    360 BROADWAY
    BANGOR, ME 04401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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