Stephanus Busono, MD
NPI #1306888953 in Somerset, New Jersey
Provider Information
- NPI Number
- 1306888953
- Entity Type
- Individual
- Name
- Stephanus Busono, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Credential
- MD
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Dec 3, 2018
Practice Location
- Address
- 77 VERONICA AVE STE 102
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-6804
- Phone
- (732) 246-1311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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