STEPHANUS BUSONO

SOMERSET, NJ
NPI1306888953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NJ  MA069235)
Enumeration Date2006-06-11
Last Update Date2018-12-03
Business Address
STEPHANUS BUSONO MD
77 VERONICA AVE STE 102
SOMERSET, NJ 08873-6804
Phone number: 732-246-1311
Mailing Address
STEPHANUS BUSONO MD
77 VERONICA AVE STE 102
SOMERSET, NJ 08873-6804
Phone number: 732-246-1311
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