Provider Demographics
NPI:1053423756
Name:A. FERREIRA & H. BUSCHIAZZO, M.D.S
Entity type:Organization
Organization Name:A. FERREIRA & H. BUSCHIAZZO, M.D.S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-831-1846
Mailing Address - Street 1:4955 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-2643
Mailing Address - Country:US
Mailing Address - Phone:215-831-1846
Mailing Address - Fax:215-831-0635
Practice Address - Street 1:4955 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-2643
Practice Address - Country:US
Practice Address - Phone:215-831-1846
Practice Address - Fax:215-831-0635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034676-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB36820Medicare UPIN