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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1326044710 |
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| LBN Legal business name | MICHAEL M BOUSTANY MD INC | ||||||||||||
| Authorized official | MICHAEL BOUSTANY - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 06/22/2005 | ||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||
| Identifiers |
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MICHAEL M BOUSTANY MD INC
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MICHAEL M BOUSTANY MD INC