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Contact Information

ROBERT L BUSUTTIL, ABC CO BOC BOCPO
367 ERVILLA ST
SUITE A
POMONA, CA91767
 Phone: 909-629-7615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ROBERT L BUSUTTIL · (Male)

NPI # 1861582652
Status Active
Credentials ABC CO BOC BOCPO
Entity Individual
Enumeration date 10/13/2006
Last updated 11/29/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # C10438
Hospital affiliation(s) Not Available
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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