| NPI | 1275058166 |
|---|---|
| Professional Name | JOHN DALE BUSQUE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 64903) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 011464) |
| 225100000X Physical Therapist (Licence: NY 044346) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2025-01-03 |